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= Purpose =
<div class="editorbox">
'''Original Editor '''- [[User:Ron Bucholtz|Ron Bucholtz]]


To test for the presence of rotator cuff tears
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} 
</div>


= Technique<ref>Wolf EM &amp;amp;amp; Agrawal V. Transdeltoid palpation (the rent test) in the diagnosis of rotator cuff tears. J Shoulder Elbow Surg. Sept/Oct 2001;10(5):470-473</ref><ref>Lyons AR &amp;amp;amp; Tomlinson JE. Clinical Diagnosis of Tears of the Rotator Cuff. J Bone Joint Surg. May 1992;74:404-405</ref><ref>Cleland J. Orthopaedic Clinical Examination: An Evidence Based Approach for Physical Therapists. Philadelphia; Saunders, Elsevier. 2007</ref> =
== Purpose ==


Patient is seated with examiner standing behind patient.&nbsp; Have patient relax - palpate anterior&nbsp;margin of&nbsp;the acromion through the deltoid - while doing this grasp the patients arm with other hand at the elbow/forearm (patients elbow should be flexed to ~ 90 degrees) and bring into extension.&nbsp; Passively internally and externally rotate patients arm to palpate rotator cuff tendons.&nbsp; Presence of palpable or prominent eminence (Greater tuberosity) and/or rent (defect or 'sulcus') is indicative of full thickness tear. <sup>1,2,3</sup>
To test for the presence of [[Rotator Cuff Tears|rotator cuff tears]].<br>  


= Evidence =
== Technique  ==


Wolf and Agrawal<sup>1 </sup>report Sensitivity and Specificity of 95.7% (.96<sup>3</sup>) and 96.8% (.97<sup>3</sup>) respectively with a positive predictive value of 95.7%, negative predictive value of 96.8% and a diagnostic accuracy of 96.3%.&nbsp; Cleland<sup>3 </sup>calculates a +LR of 32.0 and -LR of .04.&nbsp; Lyons and Tomlinson<sup>2</sup> reported Sn of 91% (.91) and Sp of 75% (.75).
Patient is seated with examiner standing behind patient. Have patient relax - palpate anterior margin of the acromion through the deltoid - while doing this grasp the patient's arm with the other hand at the elbow/forearm (patients elbow should be flexed to ~ 90 degrees) and bring into extension. Passively internally and externally rotate patients arm to palpate rotator cuff tendons. Presence of palpable or prominent eminence (Greater tuberosity) and/or rent (defect or 'sulcus')<ref>Dutton M.  Orthopaedic Examination, Evaluation, and Intervention.  New York:  The McGraw-Hill Companies  (2nd Ed.) 2008</ref> is indicative of full-thickness tear. <ref name="Wolf">[http://www.ncbi.nlm.nih.gov/pubmed/11641706 Wolf EM &amp; Agrawal V.  Transdeltoid palpation (the rent test) in the diagnosis of rotator cuff tears.  J Shoulder Elbow Surg. Sept/Oct 2001;10(5):470-473]</ref><ref name="Lyons">[http://www.ncbi.nlm.nih.gov/pubmed/1587891 Lyons AR &amp; Tomlinson JE. Clinical Diagnosis of Tears of the Rotator Cuff. J Bone Joint Surg. May 1991;(74):404-405]</ref><ref name="Cleland">Cleland J. Orthopaedic Clinical Examination:  An Evidence-Based Approach for Physical Therapists. Philadelphia; Saunders, Elsevier:  2007</ref><br> {{#ev:youtube|YA6oasQWGFA|300}}<ref>Clinically Relevant Technologies, http://www.youtube.com/watch?v=YA6oasQWGFA, Accessed May 2011</ref>


= Resources (from Pubmed) =
== Evidence  ==


Wolf and Agrawal<sup><ref name="Wolf" /> </sup>report Sensitivity and Specificity of 95.7% (.96<ref name="Cleland" />) and 96.8% (.97<ref name="Cleland" />) respectively with a positive predictive value of 95.7%, negative predictive value of 96.8% and a diagnostic accuracy of 96.3%. Cleland<ref name="Cleland" /> calculates a +LR of 32.0 and -LR of .04.&nbsp; Lyons and Tomlinson<ref name="Lyons" /> reported Sn of 91% (.91) and Sp of 75% (.75).
<br>


== References  ==


= References  =
<references />


<sup>1</sup>Wolf EM &amp; Agrawal V.&nbsp; ''Transdeltoid palpaiton (the rent test) in the diagnosis of rotator cuff tesrs''.&nbsp; J Shoulder Elbow Surg.&nbsp; Sept/Oct 2001;10(5):470-473
[[Category:Assessment]]
 
[[Category:Shoulder]]
<sup>2</sup>Lyons AR &amp; Tomlinson JE.&nbsp; ''Clincial Diagnosis of Tears of the Rotator Cuff''.&nbsp; J Bone Joint Surg.&nbsp; May 1991;(74):404-405
[[Category:Special_Tests]]
 
[[Category:Shoulder - Special Tests]]
<sup>3</sup>Cleland J.&nbsp; Orthopaedic Clinical Examination:&nbsp; An Evidence Based Approach for Physical Therapists.&nbsp; Philadelphia;&nbsp; Saunders, Elsevier:&nbsp; 2007&nbsp;
[[Category:Shoulder - Assessment and Examination]]
 
[[Category:Musculoskeletal/Orthopaedics]]
[[Category:Shoulder]][[Special Tests]]
[[Category:EIM_Residency_Project]]
[[Category:Primary Contact]]
[[Category:Sports Medicine]]
[[Category:Athlete Assessment]]

Latest revision as of 16:16, 29 August 2019

Original Editor - Ron Bucholtz

Top Contributors - Ron Bucholtz, Admin, WikiSysop, Kim Jackson, 127.0.0.1, Dan Rhon, Evan Thomas, Naomi O'Reilly, Claire Knott and Wanda van Niekerk

Purpose[edit | edit source]

To test for the presence of rotator cuff tears.

Technique[edit | edit source]

Patient is seated with examiner standing behind patient. Have patient relax - palpate anterior margin of the acromion through the deltoid - while doing this grasp the patient's arm with the other hand at the elbow/forearm (patients elbow should be flexed to ~ 90 degrees) and bring into extension. Passively internally and externally rotate patients arm to palpate rotator cuff tendons. Presence of palpable or prominent eminence (Greater tuberosity) and/or rent (defect or 'sulcus')[1] is indicative of full-thickness tear. [2][3][4]

[5]

Evidence[edit | edit source]

Wolf and Agrawal[2] report Sensitivity and Specificity of 95.7% (.96[4]) and 96.8% (.97[4]) respectively with a positive predictive value of 95.7%, negative predictive value of 96.8% and a diagnostic accuracy of 96.3%. Cleland[4] calculates a +LR of 32.0 and -LR of .04.  Lyons and Tomlinson[3] reported Sn of 91% (.91) and Sp of 75% (.75).

References[edit | edit source]

  1. ↑ Dutton M. Orthopaedic Examination, Evaluation, and Intervention. New York: The McGraw-Hill Companies (2nd Ed.) 2008
  2. ↑ 2.0 2.1 Wolf EM & Agrawal V. Transdeltoid palpation (the rent test) in the diagnosis of rotator cuff tears. J Shoulder Elbow Surg. Sept/Oct 2001;10(5):470-473
  3. ↑ 3.0 3.1 Lyons AR & Tomlinson JE. Clinical Diagnosis of Tears of the Rotator Cuff. J Bone Joint Surg. May 1991;(74):404-405
  4. ↑ 4.0 4.1 4.2 4.3 Cleland J. Orthopaedic Clinical Examination: An Evidence-Based Approach for Physical Therapists. Philadelphia; Saunders, Elsevier: 2007
  5. ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=YA6oasQWGFA, Accessed May 2011
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