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基于证据的方法来检查肩膀的子腹炎和旋转手套撕裂:一个系统的审查和元分析
Qianzi Zhao1, Preethika Palani1, Nadine S Kassab1
1Trinity Health Ann Arbor Hospital, Ann Arbor, MI, USA.
BMC musculoskeletal disorders
|December 20, 2024
概括
确定了精确的身体检查测试,以检测旋转手套撕裂 (RCT) 和下凸综合征 (SIS). 90度的外部旋转滞后标志显示了RCT的高诊断准确性,而Yergason的测试对SIS具有重要意义.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 物理疗法物理治疗
背景情况:
- 肩部疼痛是常见的,通常是由旋转手套损伤引起的,如眼 (RCT) 和亚体冲击综合征 (SIS).
- 通过体检进行准确的诊断可以改善患者的治疗结果并减少残疾.
研究的目的:
- 系统地审查和元分析用于诊断旋转手套撕裂 (RCT) 和亚体冲击综合征 (SIS) 的体检测试.
主要方法:
- 1980年至2024年发表的研究的系统审查和元分析,搜索主要的医疗数据库.
- 包括的研究将体检测试与RCT或SIS的参考标准诊断测试进行了比较.
- 数据提取和元分析是在特定的体检测试中进行的.
主要成果:
- 分析了20项涉及3438名患者的研究.
- 六项测试显示了RCT的显著诊断几率比率 (DOR),其中90度的外部旋转滞后信号是最显著的 (DOR,12.70).
- 四个测试显示了SIS的显著DOR,Yergason的测试是最重要的 (DOR,4.71).
结论:
- 该研究提供了关于RCT和SIS物理检查测试的诊断准确性的证据.
- 90度的外部旋转滞后信号和内部旋转滞后信号在诊断旋转手套撕裂方面表现出高至中等的准确性.
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