Kim test: Difference between revisions
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[[Category:Assessment]] [[Category:EIM_Residency_Project]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Shoulder]] [[Category:Special_Tests]] [[Category:Videos]] |
Revision as of 12:39, 23 April 2013
Original Editor - Sarah McBride
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Purpose
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Detection of a posteroinferior labral lesion
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.
[1] |
Evidence[edit | edit source]
The sensitivity of the Kim test was 80%, specificity was 94%. The interexaminer reliability between 2 examiners was 0.91[2].
The accuracy of the jerk test in detecting a posteroinferior labral lesion was the following: sensitivity, 73%; specificity, 98%[2].
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[2].
Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=1E-ShcJbueM; Accessed May 2011
- ↑ 2.0 2.1 2.2 1. SH Kim et al. A Novel Test for Posteroinferior Labral Lesion of the Shoulder—A Comparison to the Jerk TestAm J Sports Med - 01-AUG-2005; 33(8): 1188-92