The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance
BackgroundUsing reliable and valid clinical tests are essential for proper diagnosis and clinical outcomes among injuries involving the rotator cuff. The addition of a new clinical examination test could improve the clinical diagnosis and informative value of the sensitivity and specificity of patho...
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| مؤلفون آخرون: | , , , , , , , |
| التنسيق: | article |
| منشور في: |
2022
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| الموضوعات: | |
| الوصول للمادة أونلاين: | http://dx.doi.org/10.1016/j.jseint.2022.01.011 https://www.sciencedirect.com/science/article/pii/S2666638322000597 http://hdl.handle.net/10576/59212 |
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| _version_ | 1857415084304760832 |
|---|---|
| author | Georg, Fieseler |
| author2 | Laudner, Kevin Sendler, Julia Cornelius, Jakob Schulze, Stephan Lehmann, Wolfgang Hermassi, Souhail Delank, Karl-Stefan Schwesig, René |
| author2_role | author author author author author author author author |
| author_facet | Georg, Fieseler Laudner, Kevin Sendler, Julia Cornelius, Jakob Schulze, Stephan Lehmann, Wolfgang Hermassi, Souhail Delank, Karl-Stefan Schwesig, René |
| author_role | author |
| dc.creator.none.fl_str_mv | Georg, Fieseler Laudner, Kevin Sendler, Julia Cornelius, Jakob Schulze, Stephan Lehmann, Wolfgang Hermassi, Souhail Delank, Karl-Stefan Schwesig, René |
| dc.date.none.fl_str_mv | 2022-05-31 2024-09-24T10:01:38Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://dx.doi.org/10.1016/j.jseint.2022.01.011 Fieseler, G., Laudner, K., Sendler, J., Cornelius, J., Schulze, S., Lehmann, W., ... & Schwesig, R. (2022). The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: Reliability and clinical performance. JSES international, 6(3), 495-499. 26666383 https://www.sciencedirect.com/science/article/pii/S2666638322000597 http://hdl.handle.net/10576/59212 495-499 3 6 |
| dc.language.none.fl_str_mv | en |
| dc.publisher.none.fl_str_mv | Elsevier B.V. |
| dc.rights.none.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Clinical test Orthopedic exam Shoulder Rotator cuff Validity Reliability |
| dc.title.none.fl_str_mv | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | BackgroundUsing reliable and valid clinical tests are essential for proper diagnosis and clinical outcomes among injuries involving the rotator cuff. The addition of a new clinical examination test could improve the clinical diagnosis and informative value of the sensitivity and specificity of pathology. This study of diagnostic accuracy evaluated the use of a new rotator cuff test, called the internal rotation and shift-test (IRO/shift-test), to determine its reliability and clinical performance (sensitivity, specificity, positive (PPV)/negative predictive value (NPV)). Clinical diagnostic outcomes were confirmed with radiological findings (MRI). Methods100 patients from a specialized shoulder unit participated (64 male, 36 female, mean age: 55 ± 13.5 years). A single-blinded (no knowledge of prior clinical or technical diagnostics) study design was used with two experienced physicians performing the IRO/shift-test. For clinical performance, all clinical testing was compared with MRI. ResultsThe intra-rater (ICC = 0.73, 95% CI: 60-82) and inter-rater (ICC = 0.89, 95% CI: 81-94) coefficients for the IRO/shift-test showed good-to-excellent reliability. 75% of the patients showed a positive IRO/shift-test, while 65% had a radiologically diagnosed superior rotator cuff tear. 60% of these patients had both a positive IRO/shift-test and objective rotator cuff tear via MRI. The sensitivity of the IRO/shift-test to detect superior rotator cuff lesions based on MRI diagnosis was calculated at 92% (95% CI: 86-99%), while specificity was 67% (95% CI: 50-84%). Predictive values were also found to be high with 86% PPV (95% CI: 78-94%) and 80% NPV (95% CI: 64-96%). ConclusionOur results demonstrate that the IRO/shift-test is a reliable and valid tool for assessing superior rotator cuff pathology. With good-to-excellent intrarater and inter-rater reliability and strong sensitivity and specificity this test should be considered a valuable addition to clinicians’ cadre of clinical evaluation tools. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | qu_c8b9ec2fdc96aa46878945a0999b3c6b |
| identifier_str_mv | Fieseler, G., Laudner, K., Sendler, J., Cornelius, J., Schulze, S., Lehmann, W., ... & Schwesig, R. (2022). The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: Reliability and clinical performance. JSES international, 6(3), 495-499. 26666383 495-499 3 6 |
| language_invalid_str_mv | en |
| network_acronym_str | qu |
| network_name_str | Qatar University repository |
| oai_identifier_str | oai:qspace.qu.edu.qa:10576/59212 |
| publishDate | 2022 |
| publisher.none.fl_str_mv | Elsevier B.V. |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| spelling | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performanceGeorg, FieselerLaudner, KevinSendler, JuliaCornelius, JakobSchulze, StephanLehmann, WolfgangHermassi, SouhailDelank, Karl-StefanSchwesig, RenéClinical testOrthopedic examShoulderRotator cuffValidityReliabilityBackgroundUsing reliable and valid clinical tests are essential for proper diagnosis and clinical outcomes among injuries involving the rotator cuff. The addition of a new clinical examination test could improve the clinical diagnosis and informative value of the sensitivity and specificity of pathology. This study of diagnostic accuracy evaluated the use of a new rotator cuff test, called the internal rotation and shift-test (IRO/shift-test), to determine its reliability and clinical performance (sensitivity, specificity, positive (PPV)/negative predictive value (NPV)). Clinical diagnostic outcomes were confirmed with radiological findings (MRI). Methods100 patients from a specialized shoulder unit participated (64 male, 36 female, mean age: 55 ± 13.5 years). A single-blinded (no knowledge of prior clinical or technical diagnostics) study design was used with two experienced physicians performing the IRO/shift-test. For clinical performance, all clinical testing was compared with MRI. ResultsThe intra-rater (ICC = 0.73, 95% CI: 60-82) and inter-rater (ICC = 0.89, 95% CI: 81-94) coefficients for the IRO/shift-test showed good-to-excellent reliability. 75% of the patients showed a positive IRO/shift-test, while 65% had a radiologically diagnosed superior rotator cuff tear. 60% of these patients had both a positive IRO/shift-test and objective rotator cuff tear via MRI. The sensitivity of the IRO/shift-test to detect superior rotator cuff lesions based on MRI diagnosis was calculated at 92% (95% CI: 86-99%), while specificity was 67% (95% CI: 50-84%). Predictive values were also found to be high with 86% PPV (95% CI: 78-94%) and 80% NPV (95% CI: 64-96%). ConclusionOur results demonstrate that the IRO/shift-test is a reliable and valid tool for assessing superior rotator cuff pathology. With good-to-excellent intrarater and inter-rater reliability and strong sensitivity and specificity this test should be considered a valuable addition to clinicians’ cadre of clinical evaluation tools.Elsevier B.V.2024-09-24T10:01:38Z2022-05-31Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.jseint.2022.01.011Fieseler, G., Laudner, K., Sendler, J., Cornelius, J., Schulze, S., Lehmann, W., ... & Schwesig, R. (2022). The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: Reliability and clinical performance. JSES international, 6(3), 495-499.26666383https://www.sciencedirect.com/science/article/pii/S2666638322000597http://hdl.handle.net/10576/59212495-49936enhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/592122024-09-24T19:06:13Z |
| spellingShingle | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance Georg, Fieseler Clinical test Orthopedic exam Shoulder Rotator cuff Validity Reliability |
| status_str | publishedVersion |
| title | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance |
| title_full | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance |
| title_fullStr | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance |
| title_full_unstemmed | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance |
| title_short | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance |
| title_sort | The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance |
| topic | Clinical test Orthopedic exam Shoulder Rotator cuff Validity Reliability |
| url | http://dx.doi.org/10.1016/j.jseint.2022.01.011 https://www.sciencedirect.com/science/article/pii/S2666638322000597 http://hdl.handle.net/10576/59212 |