Crank Test: Difference between revisions

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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==


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<br>
<references />


== Purpose<br> ==
== Purpose<br> ==


To identify glenoid labral tears.<br>
To identify glenoid labral tears.<br>  


== Technique<br> ==
== Technique<br> ==


Patient is upright with the arm elevated to 160° in the scapular plane. Joint load is applied along the axis of the humerus with one hand while the other hand performs humeral rotation. The test can be repeated in supine. A positive test is indicated during the manuver (usually during external rotation)&nbsp;if there is reproduction of symptoms&nbsp;with or without a click.  
Patient is upright with the arm elevated to 160° in the scapular plane. Joint load is applied along the axis of the humerus with one hand while the other hand performs humeral rotation. The test can be repeated in supine. A positive test is indicated during the manuver (usually during external rotation)&nbsp;if there is reproduction of symptoms&nbsp;with or without a click.  
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== Evidence  ==
== Evidence  ==


<br>
<br>  


{| cellspacing="1" cellpadding="1" width="200" border="1"
{| cellspacing="1" cellpadding="1" border="1" width="200"
|-
|-
| <u>'''First author<br>'''</u>
| <u>'''First author<br>'''</u>  
| <u>'''Sensitivity (95% CI)<br>'''</u>
| <u>'''Sensitivity (95% CI)<br>'''</u>  
| <u>'''Specificity (95% CI)<br>'''</u>
| <u>'''Specificity (95% CI)<br>'''</u>  
| <u>'''+LR (95% CI)<br>'''</u>
| <u>'''+LR (95% CI)<br>'''</u>  
| <u>'''-LR (95% CI)<br>'''</u>
| <u>'''-LR (95% CI)<br>'''</u>  
| <u>'''Accuracy (%)<br>'''</u>
| <u>'''Accuracy (%)<br>'''</u>
|-
|-
| Guanche 2003<br>
| Guanche 2003<br>  
| 0.4<br>
| 0.4<br>  
| 0.73<br>
| 0.73<br>  
| 1.481<br>
| 1.481<br>  
| 0.821<br>
| 0.821<br>  
|  
|  
|-
|-
| Liu 1996<br>
| Liu 1996<br>  
| 0.906 (0.750–0.980)<br>
| 0.906 (0.750–0.980)<br>  
| 0.933 (0.779–0.992)<br>
| 0.933 (0.779–0.992)<br>  
| 13.594 (3.547–52.099)<br>
| 13.594 (3.547–52.099)<br>  
| 0.100 (0.034–0.296)<br>
| 0.100 (0.034–0.296)<br>  
| 91.9<br>
| 91.9<br>
|-
|-
| Mimori 1999<br>
| Mimori 1999<br>  
| 0.833 (0.516–0.979)<br>
| 0.833 (0.516–0.979)<br>  
| 1.000 (0.292–1.000)<br>
| 1.000 (0.292–1.000)<br>  
| 6.462 (0.477–87.549)<br>
| 6.462 (0.477–87.549)<br>  
| 0.220 (0.068–0.711)<br>
| 0.220 (0.068–0.711)<br>  
| 86.6<br>
| 86.6<br>
|-
|-
| Myers 2005<br>
| Myers 2005<br>  
| 0.346<br>
| 0.346<br>  
| 0.7<br>
| 0.7<br>  
|  
|  
|  
|  
| 44.4<br>
| 44.4<br>
|-
|-
| Nakagawa 2005<br>
| Nakagawa 2005<br>  
| 0.58<br>
| 0.58<br>  
| 0.72<br>
| 0.72<br>  
|  
|  
|  
|  
| 66<br>
| 66<br>
|-
|-
| Parentis 2006<br>
| Parentis 2006<br>  
| 0.087<br>
| 0.087<br>  
| 0.826<br>
| 0.826<br>  
|  
|  
|  
|  
|  
|  
|-
|-
| Stetson and Templin 2002<br>
| Stetson and Templin 2002<br>  
| 0.462 (0.266–0.666)<br>
| 0.462 (0.266–0.666)<br>  
| 0.564 (0.396–0.722)<br>
| 0.564 (0.396–0.722)<br>  
| 1.059 (0.612–1.831)<br>
| 1.059 (0.612–1.831)<br>  
| 0.955 (0.608–1.497)<br>
| 0.955 (0.608–1.497)<br>  
| 33.8<br>
| 33.8<br>
|}
|}
<ref name="Munro et al">Munro W, Healy R. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder-a systematic review. Manual Therapy 2009; 14(2):119-30.</ref>
 
<br>
<ref name="Munro et al">Munro W, Healy R. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder-a systematic review. Manual Therapy 2009; 14(2):119-30.</ref> <br>  


== Resources  ==
== Resources  ==
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add any relevant resources here  
add any relevant resources here  


== References<br> ==
== References<br> ==


<references />
<references />  


<br>
[[Category:Articles]][[Category:Assessment]] [[Category:EIM_Student_Project]] [[Category:Musculoskeletal/Orthopaedics]][[Category:Shoulder]] [[Category:Special_Test]]

Revision as of 10:00, 2 July 2009

Original Editor - Your name will be added here if you created the original content for this page.

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

References will automatically be added here, see adding references tutorial.


Purpose
[edit | edit source]

To identify glenoid labral tears.

Technique
[edit | edit source]

Patient is upright with the arm elevated to 160° in the scapular plane. Joint load is applied along the axis of the humerus with one hand while the other hand performs humeral rotation. The test can be repeated in supine. A positive test is indicated during the manuver (usually during external rotation) if there is reproduction of symptoms with or without a click.

Evidence[edit | edit source]


First author
 		Sensitivity (95% CI)
 		Specificity (95% CI)
 		+LR (95% CI)
 		-LR (95% CI)
 		Accuracy (%)
Guanche 2003
 0.4
 0.73
 1.481
 0.821
Liu 1996
 0.906 (0.750–0.980)
 0.933 (0.779–0.992)
 13.594 (3.547–52.099)
 0.100 (0.034–0.296)
 91.9
Mimori 1999
 0.833 (0.516–0.979)
 1.000 (0.292–1.000)
 6.462 (0.477–87.549)
 0.220 (0.068–0.711)
 86.6
Myers 2005
 0.346
 0.7
 44.4
Nakagawa 2005
 0.58
 0.72
 66
Parentis 2006
 0.087
 0.826
Stetson and Templin 2002
 0.462 (0.266–0.666)
 0.564 (0.396–0.722)
 1.059 (0.612–1.831)
 0.955 (0.608–1.497)
 33.8

[1]

Resources[edit | edit source]

add any relevant resources here

References
[edit | edit source]

  1. ↑ Munro W, Healy R. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder-a systematic review. Manual Therapy 2009; 14(2):119-30.
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