Shoulder Arthritis and Rotator Cuff Tears: causes of shoulder pain: Rotator cuff disease – clinical signs: Does This Patient With Shoulder Pain Have Rotator Cuff Disease? The Rational Clinical Examination Systematic Review These authors remind us …
Rotator cuff disease – clinical signs
These authors remind us that rotator cuff disease (RCD) is the most common cause of shoulder pain seen by physicians. They performed a meta-analysis to identify the most accurate clinical examination
findings for RCD. They located 28 studies that assessed the examination of referred patients by specialists. Only 5 of the studies reached Rational Clinical Examination quality scores of level 1-2. These included from 30 to 203 shoulders with the prevalence of RCD ranging from 33%to 81%.
normal painful arc test result had the lowest negative LR (0.36 [95%CI, 0.23-0.54]).
tears. A normal internal rotation lag test result was most accurate for identifying patients without a full-thickness tear (LR, 0.04 [95%CI, 0.0-0.58]).
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