Kim test: Difference between revisions
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'''Original Editor '''- [[User:Sarah McBride|Sarah McBride]] | '''Original Editor '''- [[User:Sarah McBride|Sarah McBride]] | ||
''' | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== Purpose == | |||
== Technique | Detection of a posteroinferior labral lesion.<br> | ||
== Technique == | |||
A - With the patient in a sitting position with the arm 90 degrees of abduction, the examiner holds the elbow and lateral aspect of the proximal arm, and a strong axial loading force is applied. | A - With the patient in a sitting position with the arm 90 degrees of abduction, the examiner holds the elbow and lateral aspect of the proximal arm, and a strong axial loading force is applied. | ||
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B - while the arm is elevated 45 degrees diagonally upward, downward and backward force is applied to the proximal arm. A sudden onset of posterior shoulder pain indicates a positive test result, regardless of accompanying posterior clunk of the humeral head. | B - while the arm is elevated 45 degrees diagonally upward, downward and backward force is applied to the proximal arm. A sudden onset of posterior shoulder pain indicates a positive test result, regardless of accompanying posterior clunk of the humeral head. | ||
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| {{#ev:youtube|3SidX4hb3m8|300}}<ref>Clinically Relevant Technologies, http://www.youtube.com/watch?v=1E-ShcJbueM; Accessed May 2011</ref> | |||
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== Evidence == | == Evidence == | ||
The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91<ref name="Am J Sports Med">1. SH Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A Comparison to the Jerk | The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91<ref name="Am J Sports Med">1. SH Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A Comparison to the Jerk Test Am J Sports Med - 01-AUG-2005; 33(8): 1188-92</ref>. | ||
The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%<ref name="Am J Sports Med" />. | The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%<ref name="Am J Sports Med" />. | ||
The Kim test was more sensitive in detecting a predominantly inferior labral lesion, whereas the jerk test was more sensitive in detecting a predominantly posterior labral lesion. The sensitivity in detecting a posteroinferior labral lesion increased to 97% when the 2 tests were combined. | The Kim test was more sensitive in detecting a predominantly inferior labral lesion, whereas the jerk test was more sensitive in detecting a predominantly posterior labral lesion. The sensitivity in detecting a posteroinferior labral lesion increased to 97% when the 2 tests were combined<ref name="Am J Sports Med" />. <br> | ||
== References == | == References == | ||
<references /> | |||
<references /> | |||
[[Category: | [[Category:Assessment]] | ||
[[Category:Shoulder]] | |||
[[Category:Special_Tests]] | |||
[[Category:Shoulder - Special Tests]] | |||
[[Category:Shoulder - Assessment and Examination]] | |||
[[Category:Musculoskeletal/Orthopaedics]] | |||
[[Category:EIM_Residency_Project]] | |||
[[Category:Sports Medicine]] | |||
[[Category:Sports Injuries]] | |||
[[Category:Athlete Assessment]] | |||
Latest revision as of 16:16, 29 August 2019
Original Editor - Sarah McBride
Top Contributors - Admin, Sarah McBride, Kim Jackson, Naomi O'Reilly, Kai A. Sigel, WikiSysop, Wanda van Niekerk, Tony Lowe, Dan Rhon, Clinically Relevant and Evan Thomas
Purpose[edit | edit source]
Detection of a posteroinferior labral lesion.
Technique[edit | edit source]
A - With the patient in a sitting position with the arm 90 degrees of abduction, the examiner holds the elbow and lateral aspect of the proximal arm, and a strong axial loading force is applied.
B - while the arm is elevated 45 degrees diagonally upward, downward and backward force is applied to the proximal arm. A sudden onset of posterior shoulder pain indicates a positive test result, regardless of accompanying posterior clunk of the humeral head.
|
[1] |
Evidence[edit | edit source]
The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91[2].
The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%[2].
The Kim test was more sensitive in detecting a predominantly inferior labral lesion, whereas the jerk test was more sensitive in detecting a predominantly posterior labral lesion. The sensitivity in detecting a posteroinferior labral lesion increased to 97% when the 2 tests were combined[2].
References[edit | edit source]
- ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=1E-ShcJbueM; Accessed May 2011
- ↑ 2.0 2.1 2.2 1. SH Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A Comparison to the Jerk Test Am J Sports Med - 01-AUG-2005; 33(8): 1188-92
