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Fragility Assessment of Bovine Cortical Bone Using Scratch Tests
08:36

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Published on: November 30, 2017

The reliability of the "Scratch test".

Jeffrey E Budoff1, John M Hicks, Gustavo Ayala

  • 1Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX 77030, USA. Jebudoff@yahoo.com

The Journal of Hand Surgery, European Volume
|April 30, 2008
PubMed
Summary
This summary is machine-generated.

The "Scratch Test" effectively differentiates diseased tendon from healthy tissue in lateral and medial epicondylitis management. Histological analysis confirmed the test isolates degenerated tendon, aiding in diagnosis.

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Area of Science:

  • Orthopedic Surgery
  • Histopathology
  • Sports Medicine

Background:

  • Lateral and medial epicondylitis are common conditions often associated with tendon degeneration (tendinosis).
  • The "Scratch Test" is a clinical technique proposed to aid in differentiating between affected and unaffected tendon tissue.

Purpose of the Study:

  • To histologically evaluate the efficacy of the "Scratch Test" in distinguishing tendinosis from normal tendon.
  • To determine if the tissue removed by the "Scratch Test" is representative of tendinosis.

Main Methods:

  • Histological examination of 19 elbow tendon specimens from patients undergoing treatment for tendinosis.
  • Comparison of three groups: grossly abnormal tendon, tendon scraped via "Scratch Test", and tendon remaining after the "Scratch Test".

Main Results:

  • No significant histological difference was found between grossly abnormal tendon and tendon removed by the "Scratch Test".
  • Significant histological differences were observed between degenerated tendon (groups 1 and 2) and the normal tendon tissue left behind (group 3).

Conclusions:

  • The "Scratch Test" successfully differentiates between tendinosis and normal tendon tissue.
  • The tissue removed during the "Scratch Test" is histologically consistent with tendinosis, validating its use in diagnosis.