Rent Test: Difference between revisions
m (Text replace - 'Read more.' to ' ') |
m (Text replace - '- Your name will be added here if you are a lead editor on this page.' to ' ') |
||
| Line 2: | Line 2: | ||
'''Original Editor '''- [[User:Ron Bucholtz|Ron Bucholtz]] | '''Original Editor '''- [[User:Ron Bucholtz|Ron Bucholtz]] | ||
'''Lead Editors''' | '''Lead Editors''' | ||
</div> | </div> | ||
== Purpose == | == Purpose == | ||
Revision as of 16:27, 14 June 2013
Original Editor - Ron Bucholtz
Lead Editors
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 patients arm with 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]
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).
Resources
[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=16C1W1gAKSb9WMHg-NwW0BQQazzqV_XX4kBOF8koAIQYp-YASg|charset=UTF-8|short|max=10: Error parsing XML for RSS
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Dutton M. Orthopaedic Examination, Evaluation, and Intervention. New York: The McGraw-Hill Comapinies (2nd Ed.) 2008
- ↑ 2.0 2.1 Wolf EM &amp;amp;amp; Agrawal V. Transdeltoid palpaiton (the rent test) in the diagnosis of rotator cuff tears. J Shoulder Elbow Surg. Sept/Oct 2001;10(5):470-473
- ↑ 3.0 3.1 Lyons AR &amp;amp;amp; Tomlinson JE. Clincial Diagnosis of Tears of the Rotator Cuff. J Bone Joint Surg. May 1991;(74):404-405
- ↑ 4.0 4.1 4.2 4.3 Cleland J. Orthopaedic Clinical Examination: An Evidence Based Approach for Physical Therapists. Philadelphia; Saunders, Elsevier: 2007
- ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=YA6oasQWGFA, Accessed May 2011
