Crank Test: Difference between revisions
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'''Original Editor '''- [[User:Stacy S Stone|Stacy S Stone]] | '''Original Editor '''- [[User:Stacy S Stone|Stacy S Stone]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
== Purpose | |||
== Purpose == | |||
This test is used to identify glenoid labral tears.<br> | This test is used to identify glenoid labral tears.<br> | ||
== Technique | == Technique == | ||
{| width="40%" cellspacing="1" cellpadding="1" border="0" align="right" class="FCK__ShowTableBorders" | {| width="40%" cellspacing="1" cellpadding="1" border="0" align="right" class="FCK__ShowTableBorders" | ||
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Patient is upright with the arm elevated to 160° in the scapular plane. Joint load is applied along the axis of the humerus with one hand while the other hand performs humeral rotation. The test can be repeated in supine. A positive test is indicated during the | Patient is upright with the arm elevated to 160° in the scapular plane. Joint load is applied along the axis of the humerus with one hand while the other hand performs humeral rotation. The test can be repeated in supine. A positive test is indicated during the maneuver (usually during external rotation) if there is reproduction of symptoms with or without a click. <ref name="Munro et al" /> | ||
<br> | |||
== Evidence == | == Evidence == | ||
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| <u>'''Accuracy (%)<br>'''</u> | | <u>'''Accuracy (%)<br>'''</u> | ||
|- | |- | ||
| Guanche 2003 | | Guanche 2003 | ||
| 0.4 | | 0.4 | ||
| 0.73 | | 0.73 | ||
| 1.481 | | 1.481 | ||
| 0.821 | | 0.821 | ||
| | | | ||
|- | |- | ||
| Liu 1996 | | Liu 1996 | ||
| 0.906 (0.750–0.980) | | 0.906 (0.750–0.980) | ||
| 0.933 (0.779–0.992) | | 0.933 (0.779–0.992) | ||
| 13.594 (3.547–52.099) | | 13.594 (3.547–52.099) | ||
| 0.100 (0.034–0.296) | | 0.100 (0.034–0.296) | ||
| 91.9 | | 91.9 | ||
|- | |- | ||
| Mimori 1999 | | Mimori 1999 | ||
| 0.833 (0.516–0.979) | | 0.833 (0.516–0.979) | ||
| 1.000 (0.292–1.000) | | 1.000 (0.292–1.000) | ||
| 6.462 (0.477–87.549) | | 6.462 (0.477–87.549) | ||
| 0.220 (0.068–0.711) | | 0.220 (0.068–0.711) | ||
| 86.6 | | 86.6 | ||
|- | |- | ||
| Myers 2005 | | Myers 2005 | ||
| 0.346 | | 0.346 | ||
| 0.7 | | 0.7 | ||
| Not calculated | | Not calculated | ||
| Not calculated | | Not calculated | ||
| 44.4 | | 44.4 | ||
|- | |- | ||
| Nakagawa 2005 | | Nakagawa 2005 | ||
| 0.58 | | 0.58 | ||
| 0.72 | | 0.72 | ||
| Not calculated | | Not calculated | ||
| Not calculated | | Not calculated | ||
| 66 | | 66 | ||
|- | |- | ||
| Parentis 2006 | | Parentis 2006 | ||
| 0.087 | | 0.087 | ||
| 0.826 | | 0.826 | ||
| Not calculated | | Not calculated | ||
| Not calculated | | Not calculated | ||
| | | | ||
|- | |- | ||
| Stetson and Templin 2002 | | Stetson and Templin 2002 | ||
| 0.462 (0.266–0.666) | | 0.462 (0.266–0.666) | ||
| 0.564 (0.396–0.722) | | 0.564 (0.396–0.722) | ||
| 1.059 (0.612–1.831) | | 1.059 (0.612–1.831) | ||
| 0.955 (0.608–1.497) | | 0.955 (0.608–1.497) | ||
| 33.8 | | 33.8 | ||
|} | |} | ||
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== Resources == | == Resources == | ||
Guanche CA, Jones DC. | *Guanche CA, Jones DC. Clinical testing for tears of the glenoid labrum. ''Arthroscopy.'' 2003;19:517-523.<br> | ||
*Liu SH, Henry MH, Nuccion S, Shapiro MS, Dorey F. Diagnosis of glenoid labral tears: a comparison between magnetic resonance imaging and clinical examinations. ''Am J Sports Med''. 1996;24(2):149–154.<br> | |||
Liu SH, Henry MH, | |||
== References == | == References == | ||
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<references /> | <references /> | ||
[[Category:Assessment]] [[Category: | [[Category:Assessment]] [[Category:Special_Tests]] [[Category:Shoulder]] [[Category:Shoulder Special Tests]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:EIM_Residency_Project]] |
Revision as of 06:15, 6 December 2017
Original Editor - Stacy S Stone
Top Contributors - Admin, Stacy S Stone, Kehinde Fatola, Rachael Lowe, Scott Buxton, WikiSysop, Kim Jackson, Dan Rhon, Laura Ritchie, Evan Thomas, Naomi O'Reilly, Kai A. Sigel, Wanda van Niekerk and Tony Lowe
Purpose[edit | edit source]
This test is used to identify glenoid labral tears.
Technique[edit | edit source]
[1] |
Patient is upright with the arm elevated to 160° in the scapular plane. Joint load is applied along the axis of the humerus with one hand while the other hand performs humeral rotation. The test can be repeated in supine. A positive test is indicated during the maneuver (usually during external rotation) if there is reproduction of symptoms with or without a click. [2]
Evidence[edit | edit source]
First author |
Sensitivity (95% CI) |
Specificity (95% CI) |
+LR (95% CI) |
-LR (95% CI) |
Accuracy (%) |
Guanche 2003 | 0.4 | 0.73 | 1.481 | 0.821 | |
Liu 1996 | 0.906 (0.750–0.980) | 0.933 (0.779–0.992) | 13.594 (3.547–52.099) | 0.100 (0.034–0.296) | 91.9 |
Mimori 1999 | 0.833 (0.516–0.979) | 1.000 (0.292–1.000) | 6.462 (0.477–87.549) | 0.220 (0.068–0.711) | 86.6 |
Myers 2005 | 0.346 | 0.7 | Not calculated | Not calculated | 44.4 |
Nakagawa 2005 | 0.58 | 0.72 | Not calculated | Not calculated | 66 |
Parentis 2006 | 0.087 | 0.826 | Not calculated | Not calculated | |
Stetson and Templin 2002 | 0.462 (0.266–0.666) | 0.564 (0.396–0.722) | 1.059 (0.612–1.831) | 0.955 (0.608–1.497) | 33.8 |
Resources[edit | edit source]
- Guanche CA, Jones DC. Clinical testing for tears of the glenoid labrum. Arthroscopy. 2003;19:517-523.
- Liu SH, Henry MH, Nuccion S, Shapiro MS, Dorey F. Diagnosis of glenoid labral tears: a comparison between magnetic resonance imaging and clinical examinations. Am J Sports Med. 1996;24(2):149–154.
References[edit | edit source]
- ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=3CLvoC21hTo[last accessed 22/03/13]
- ↑ 2.0 2.1 Munro W, Healy R. The validity and accuracy of clinical tests used to detect labral pathology of the shoulder-a systematic review. Manual Therapy 2009; 14(2):119-30.