Kim test: Difference between revisions
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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. | ||
<br> [[Image:Kim test.jpg|Image:Kim_test.jpg]] | |||
[[Image:Kim test.jpg|Image:Kim_test.jpg]] | |||
== Evidence == | == Evidence == | ||
The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91. | The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91. | ||
The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%. | The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%. | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
<div class="researchbox"> | <div class="researchbox"> | ||
<rss> | <rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1RAka_j-eJMq9m-8tZ4JPSH84HkSJyeolTV7Ihs1wGGUkEuwCQ|charset=UTF-8|short|max=10</rss> | ||
</div> | </div> | ||
== References == | == References == | ||
Revision as of 17:41, 21 November 2009
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Purpose
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Technique
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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.
Evidence[edit | edit source]
The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91.
The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%.
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.
Resources[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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