Rent Test: Difference between revisions
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'''Original Editor '''- [[User:Ron Bucholtz|Ron Bucholtz]] | '''Original Editor '''- [[User:Ron Bucholtz|Ron Bucholtz]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== 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]].<br> | ||
== Technique == | == Technique == | ||
Patient is seated with examiner standing behind patient. | 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 & 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 & 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> | ||
== Evidence == | == 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%. | 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. Lyons and Tomlinson<ref name="Lyons" /> reported Sn of 91% (.91) and Sp of 75% (.75). | ||
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== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Shoulder]] [[Category:Special_Tests]] [[Category:Shoulder Special Tests]] [[Category:Musculoskeletal/Orthopaedics | [[Category:Assessment]] [[Category:Shoulder]] [[Category:Special_Tests]] [[Category:Shoulder Special Tests]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:EIM_Residency_Project]] | ||
Revision as of 06:43, 6 December 2017
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]
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]
- ↑ Dutton M. Orthopaedic Examination, Evaluation, and Intervention. New York: The McGraw-Hill Companies (2nd Ed.) 2008
- ↑ 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
- ↑ 3.0 3.1 Lyons AR & Tomlinson JE. Clinical Diagnosis of Tears of the Rotator Cuff. J Bone Joint Surg. May 1991;(74):404-405
- ↑ 4.0 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
