RefDoc
Haut

Faire une nouvelle recherche
Make a new search
Lancer la recherche


Titre du document / Document title

The Passive Distraction Test: A New Diagnostic Aid for Clinically Significant Superior Labral Pathology

Auteur(s) / Author(s)

SCHLECHTER John A. (1) ; SUMMA Stacy (2) ; RUBIN Benjamin D. (2) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Orthopaedic Surgery, Children's Hos- pital Orange County, ETATS-UNIS
(2) Orthopedic Specialty Institute, Orange, California, ETATS-UNIS

Résumé / Abstract

Purpose: The purpose of this report is to present a new provocative maneuver, the passive distraction test (PDT), as an examination tool to be used in the evaluation of patients thought to have a SLAP lesion and to compare its accuracy, precision, and reproducibility alone and in conjunction with previously published maneuvers. Methods: A retrospective analysis of 319 consecutive arthroscopies performed between May 2001 and November 2003 was performed. A total of 65 cases were excluded, 53 because of limitation of elevation to less than 150° or pain in the starting test position and 12 who had previous shoulder procedures performed by the senior author, leaving 254 cases for review. A thorough history was obtained and a thorough physical examination performed with a focus on the involved shoulder including specific provocative maneuvers for the clinical diagnosis of a SLAP lesion. The active compression test, the anterior slide test, and the PDT were used to clinically diagnose a SLAP lesion. The results from the 3 provocative maneuvers were compared with the arthroscopic findings to determine the sensitivity, specificity, negative predictive value (NPV), and positive predictive value of each test alone and in a logical combination. Results: Of 254 shoulder arthroscopies, 61 had a clinically significant SLAP lesion, for an incidence of 24%. The sensitivity and specificity for the PDT were 53% and 94%, respectively, with an NPV of 87% and positive predictive value of 72%. In combination, the PDT and the active compression test yielded an NPV of 90.5%. Conclusions: The PDT can be used alone or in combination to aid in the clinical evaluation and diagnosis of a SLAP lesion.

Revue / Journal Title

Arthroscopy    ISSN  0749-8063   CODEN ARTHE3 

Source / Source

2009, vol. 25, no12, pp. 1374-1379 [6 page(s) (article)] (32 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1985) (Revue)

Mots-clés anglais / English Keywords

Endoscopy

;

Treatment

;

Arthroscopy

;

Orthopedic surgery

;

Lesion

;

Posterior

;

Anatomic pathology

;

Diagnostic aid

;

Distraction

;

Mots-clés français / French Keywords

Endoscopie

;

Traitement

;

Arthroscopie

;

Chirurgie orthopédique

;

Lésion

;

Postérieur

;

Anatomopathologie

;

Aide diagnostic

;

Distraction

;

Mots-clés espagnols / Spanish Keywords

Endoscopía

;

Tratamiento

;

Artroscopia

;

Cirugía ortopédica

;

Lesión

;

Posterior

;

Anatomía patológica

;

Ayuda diagnóstica

;

Distracción

;

Mots-clés d'auteur / Author Keywords

Passive distraction test

;

Superior labrum anterior-posterior lesion

;

SLAP

;

Physical examination

;

Localisation / Location

INIST-CNRS, Cote INIST : 20604, 35400017154726.0030

Nº notice refdoc (ud4) : 22236513



Faire une nouvelle recherche
Make a new search
Lancer la recherche
Bas