کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4074940 | 1267025 | 2011 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Clinical evaluation of acromioclavicular joint pathology: Sensitivity of a new test Clinical evaluation of acromioclavicular joint pathology: Sensitivity of a new test](/preview/png/4074940.png)
BackgroundA prospective study was established to assess the sensitivity of the newly described Bell-van Riet (BvR) test for isolated AC pathology, and compare with 4 commonly used clinical tests.Materials and methodsThe BvR test is essentially the cross-adduction test, with the addition of attempted elevation against resistance. In a positive test, this results in some pain and the inability of the patient to maintain the arm in the adducted and elevated position against resistance. Fifty-eight patients with isolated AC joint symptoms were assessed in random order with the BvR test and 4 other tests. A corticosteroid and local anaesthetic injection was administered into the AC joint space. The BvR test and 4 other tests were then repeated following the injection. After the injection, a symptom free clinical examination was used as a measure of truly positive tests.ResultsThe BvR test showed a sensitivity of 98%. All 4 other tests were less sensitive.ConclusionThe BvR test is a highly sensitive test in patients presenting with isolated AC related symptoms, and demonstrates AC joint pathology better than other accepted tests.
Journal: Journal of Shoulder and Elbow Surgery - Volume 20, Issue 1, January 2011, Pages 73–76