评估 subscapularis 撕裂:特殊测试与疼痛和撕裂严重程度之间的关系
İnci Hazal Ayas1, Baran Sarıkaya2, Mustafa Özer3
1Gazi University Faculty of Health Science, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
概括
特殊测试 subscapularis撕裂显示不同的有效性. 空测试 (ECT) 与疼痛有关,而熊拥抱测试 (BHT) 最好检测眼.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 肌肉骨成像检查 肌肉骨成像检查
背景情况:
- 头骨下部撕裂是常见的旋转手套损伤.
- 准确的诊断方法对于有效的治疗至关重要.
- 特殊的体检测试用于评估这些眼.
研究的目的:
- 评估 subscapularis 撕裂和疼痛严重程度之间的特殊测试之间的关联.
- 为了确定这些测试和撕裂严重程度之间的关系.
- 为了确定 subscapularis 撕裂的最敏感和最具体的诊断测试.
主要方法:
- 对902名经过关节镜检查证实下骨裂纹的患者 (2010-2022) 的回顾性分析.
- 使用拉福斯分类 (I-IV) 进行分类的撕裂严重程度.
- 记录了手术前的疼痛评分 (VAS),运动范围 (ROM) 和提升 (LOT),腹部压力 (BPT),熊拥抱 (BHT) 和空 (ECT) 测试的结果.
主要成果:
- 空试验 (ECT) 显示了最高的灵敏度 (81.2%的孤立,84.1%的组合).
- 在撕裂严重程度和测试灵敏度 (p > 0.05) 之间没有发现显著的关联.
- 只有ECT与疼痛有显著的关联 (OR = 33.1,p < 0.001).
结论:
- 大多数特殊的测试 subscapularis撕裂缺乏敏感性撕裂的严重程度或疼痛,除了ECT.
- 熊拥抱测试 (BHT) 在检测任何 subscapularis 撕裂方面表现出最高的成功率.
- 疼痛的严重程度与伴随的旋转手腕病变相关,而不是 subscapularis 撕裂的严重程度.
相关概念视频
Pericarditis II: Clinical features and Diagnostic Tests
3
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
3
Appendicitis-I: Introduction
91
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
91
Assessment of the Abdomen III: Palpation
355
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
355


