Rent Test: Difference between revisions
Ron Bucholtz (talk | contribs) No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
<div class="editorbox"> | |||
'''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. [[Physiopedia:Editors|Read more.]] | |||
</div> | |||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | |||
<div class="researchbox"> | |||
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | |||
</div> | |||
== References == | |||
References will automatically be added here, see [[Adding References|adding references tutorial]]. | |||
<references /> | |||
= Purpose = | = Purpose = | ||
To test for the presence of [[Rotator Cuff Tears|rotator cuff tears]] | To test for the presence of [[Rotator Cuff Tears|rotator cuff tears]] | ||
= Technique<ref>Wolf EM &amp;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;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> = | = Technique<ref>Wolf EM &amp;amp;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;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> = | ||
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')<sup>4</sup> is indicative of full thickness tear. <sup>1,2,3</sup> | 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')<sup>4</sup> is indicative of full thickness tear. <sup>1,2,3</sup> | ||
= Evidence = | = Evidence = | ||
| Line 15: | Line 30: | ||
[http://www.ncbi.nlm.nih.gov/pubmed/11641706 http://www.ncbi.nlm.nih.gov/pubmed/11641706] <sup>1</sup> | [http://www.ncbi.nlm.nih.gov/pubmed/11641706 http://www.ncbi.nlm.nih.gov/pubmed/11641706] <sup>1</sup> | ||
[http://www.ncbi.nlm.nih.gov/pubmed/1587891 http://www.ncbi.nlm.nih.gov/pubmed/1587891] <sup>2</sup> | [http://www.ncbi.nlm.nih.gov/pubmed/1587891 http://www.ncbi.nlm.nih.gov/pubmed/1587891] <sup>2</sup> | ||
= References = | = References = | ||
Revision as of 14:55, 5 December 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]
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
Purpose[edit | edit source]
To test for the presence of rotator cuff tears
Technique[1][2][3][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')4 is indicative of full thickness tear. 1,2,3
Evidence[edit | edit source]
Wolf and Agrawal1 report Sensitivity and Specificity of 95.7% (.963) and 96.8% (.973) respectively with a positive predictive value of 95.7%, negative predictive value of 96.8% and a diagnostic accuracy of 96.3%. Cleland3 calculates a +LR of 32.0 and -LR of .04. Lyons and Tomlinson2 reported Sn of 91% (.91) and Sp of 75% (.75).
Resources (from Pubmed) [edit | edit source]
http://www.ncbi.nlm.nih.gov/pubmed/11641706 1
http://www.ncbi.nlm.nih.gov/pubmed/1587891 2
References[edit | edit source]
1Wolf EM & 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
2Lyons AR & Tomlinson JE. Clincial Diagnosis of Tears of the Rotator Cuff. J Bone Joint Surg. May 1991;(74):404-405
3Cleland J. Orthopaedic Clinical Examination: An Evidence Based Approach for Physical Therapists. Philadelphia; Saunders, Elsevier: 2007
4Dutton M. Orthopaedic Examination, Evaluation, and Intervention. New York: The McGraw-Hill Comapinies (2nd Ed.) 2008
- ↑ Wolf EM &amp;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
- ↑ Lyons AR &amp;amp;amp;amp; Tomlinson JE. Clinical Diagnosis of Tears of the Rotator Cuff. J Bone Joint Surg. May 1992;74:404-405
- ↑ Cleland J. Orthopaedic Clinical Examination: An Evidence Based Approach for Physical Therapists. Philadelphia; Saunders, Elsevier. 2007
