基于远程医疗的肩部检查的诊断准确性与MRI相比在旋转手套综合征:一个横截面研究
Rodrigo A Beraldo1,2, Leonardo Zanesco2, Pedro Henrique S da Cruz2
1Orthopaedics and Traumatology, Instituto Jundiaiense de Ortopedia e Traumatologia, Jundiai, BRA.
Cureus
|January 19, 2026
概括
远程医疗的肩部检查显示了对旋转手腕综合征的高度敏感性,与面对面的评估相似. 磁共振成像 (MRI) 虽然对分类有用,但对诊断仍然至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 诊断成像 诊断成像 诊断成像
- 数字健康数字健康
背景情况:
- 远程医疗正在扩大肌肉骨护理领域.
- 对于旋转手套综合征与MRI的远程物理检查的准确性是不确定的.
研究的目的:
- 评估基于远程医疗的肩部机动与MRI用于旋转手套综合征诊断.
- 将远程医疗与面对面检查进行比较.
主要方法:
- 横截面诊断准确性研究.
- 远程医疗和面对面的JOBE,Infraspinatus和Bear Hug测试评估了疼痛/软弱.
- 作为参考标准的MRI,由盲目放射科医生进行审查.
主要成果:
- 远程医疗测试显示了高灵敏度 (例如,JOBE疼痛96.2%).
- 面对面的检查显示了类似的敏感性,但对于弱点更为保守.
- 同意度在疼痛方面很好 (κ高达1.00),在虚弱方面中度 (κ,0.11-0.47).
结论:
- 远程医疗肩部检查非常敏感,类似于面对面的评估.
- 远程医疗作为一个敏感的分类工具.
- 核磁共振仍然对最终诊断和治疗计划至关重要.
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