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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 467-471
DOI: 10.1055/s-0041-1735945
Artigo Original

Correlation of Physical Examination with Arthroscopic Findings in the Treatment of Rotator Cuff Tear

Article in several languages: português | English
Flávio de Oliveira França 
1   Serviço de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
Glaydson Gomes Godinho 
1   Serviço de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
José Márcio Alves Freitas 
1   Serviço de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
Augusto Silveira Lang 
2   Especializando em Cirurgia do Ombro e Cotovelo do Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
Charles Diogo Ammar 
2   Especializando em Cirurgia do Ombro e Cotovelo do Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
,
Fabrício Martinelli 
2   Especializando em Cirurgia do Ombro e Cotovelo do Hospital Ortopédico BH, Belo Horizonte, MG, Brasil
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Abstract

Objective To compare clinical data from the physical examination with arthroscopic findings in rotator cuff rupture.

Methods A total of 177 patients submitted to arthroscopic treatment of rotator cuff rupture were selected, and arthroscopic findings were compared with physical examination.

Results The impingement tests showed high sensitivity for rotator cuff rupture. Among the strength tests, the most sensitive was the Patte test (85.7%), and the one with the highest positive predictive value (PPV) was the Jobe test (95%). The Drop Sign test showed higher specificity and negative predictive value (NPV) (98.7 and 95.9%, respectively). Patients with a history of trauma were 3.5 times more likely to have a positive Lift Off test.

Conclusion The impingement tests had high sensitivity for rotator cuff ruptures. The Jobe test showed similar sensitivity among patients who had partial or total supraspinal injury. For complete lesions of the subscapularis, The Lift Off and Belly Press tests showed high sensitivity and specificity.

Keywords

arthroscopy - physical examination - rotator cuff - shoulder - rupture

Financial Support

There was no financial support from public, commercial, or nonprofit sources.


Study carried out by the Shoulder Surgery and Rehabilitation Group of Hospital Ortopédico, Belo Horizonte, MG, Brazil.




Publication History

Received: 05 July 2020

Accepted: 02 June 2021

Article published online:
30 June 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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