Journal ArticleDOI
Diagnostic value of four clinical tests for the evaluation of subscapularis integrity
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TLDR
A positive lift-off test was highly specific for the detection of a full-thickness subscapularis tear and to reflect severe fatty degeneration.About:
This article is published in Journal of Shoulder and Elbow Surgery.The article was published on 2013-09-01. It has received 64 citations till now. The article focuses on the topics: Rotator cuff.read more
Citations
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Journal ArticleDOI
Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology
Breda Eubank,Nicholas G. H. Mohtadi,Mark R. Lafave,J. Preston Wiley,Aaron J. Bois,Richard S. Boorman,David M Sheps +6 more
TL;DR: In this paper, the authors developed a clinical pathway algorithm that sets forth a stepwise process for making decisions about the diagnosis and treatment of rotator cuff pathology presenting to primary, secondary, and tertiary healthcare settings.
Journal ArticleDOI
Rotator cuff tears: An evidence based approach
TL;DR: A vigilant clinician must utilize and corroborate clinical skill and radiological findings to identify tear progression and choose an easily reproducible technique of maximal strength and sturdiness among the armamentarium of the shoulder surgeon.
Using the modified delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology
TL;DR: This consensus guideline will help to standardize care, provide guidance on the diagnosis and treatment of rotator cuff pathology, and assist in clinical decision-making for all healthcare professionals.
Journal ArticleDOI
The Diagnostic Accuracy of Special Tests for Rotator Cuff Tear: The ROW Cohort Study.
Nitin B. Jain,Jennifer Luz,Laurence D. Higgins,Yan Dong,Jon J.P. Warner,Elizabeth Matzkin,Jeffrey N. Katz,Jeffrey N. Katz +7 more
TL;DR: Jobe test and full can test had high sensitivity and specificity for supraspinatus tears, and Hornblower sign performed well for infraspinatu tears.
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Subscapularis tears: hidden and forgotten no more
TL;DR: The subscapularis tendon, at one point, was thought of as the forgotten tendon, with “hidden lesions” that referred to partial tears of this tendon, but better understanding of anatomy and biomechanics combined with improved imaging technology and the widespread use of arthroscopy has led to a higher rate of tear diagnoses and repairs.
References
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The meaning and use of the area under a receiver operating characteristic (ROC) curve.
TL;DR: A representation and interpretation of the area under a receiver operating characteristic (ROC) curve obtained by the "rating" method, or by mathematical predictions based on patient characteristics, is presented and it is shown that in such a setting the area represents the probability that a randomly chosen diseased subject is (correctly) rated or ranked with greater suspicion than a random chosen non-diseased subject.
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Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach.
TL;DR: A nonparametric approach to the analysis of areas under correlated ROC curves is presented, by using the theory on generalized U-statistics to generate an estimated covariance matrix.
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Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan
TL;DR: A preoperative computed tomography scan grading muscular fatty degeneration in five stages was done in 63 patients scheduled for repair of a torn rotator cuff, finding that infraspinatus degeneration had a highly negative influence on the outcome of suprasp inatus repairs.
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Fatty Infiltration and Atrophy of the Rotator Cuff Do Not Improve After Rotator Cuff Repair and Correlate With Poor Functional Outcome
TL;DR: It is suggested that repairs should be performed, if possible, before more significant deterioration in the cuff musculature in order to optimize outcomes, and that understanding the degree of muscle atrophy and fatty infiltration before surgery can help guide patient expectations.
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Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases
TL;DR: A simple clinical manoeuvre called the 'lift-off test', reliably diagnosed or excluded clinically relevant rupture of the subscapularis tendon, and repair of the ruptured tendon was technically demanding and required good exposure to identify and protect the axillary nerve.