Flexion Initiation Test: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
=== Purpose ===
=== Purpose ===
The '''Flexion Initiation Test (FIT)''' is a diagnostic test for Distal [[Biceps brachii|Biceps]] Tendon Tears.
The '''Flexion Initiation Test (FIT)''' is a diagnostic test for Distal [[Biceps brachii|Biceps]] Tendon Tears.
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also, in this study shows using both hook test and flexion initiating test have high accuracy for the examine both complete and high  grade partial tear of Distal Biceps Tendon Tears. The methodology may help to prevent diagnosis delays, improve patient education, and preserve the option for timely primary surgical repair in the treatment of Distal Biceps Tendon Tears (DBTTs).
also, in this study shows using both hook test and flexion initiating test have high accuracy for the examine both complete and high  grade partial tear of Distal Biceps Tendon Tears. The methodology may help to prevent diagnosis delays, improve patient education, and preserve the option for timely primary surgical repair in the treatment of Distal Biceps Tendon Tears (DBTTs).
=== Reference ===
<references />

Revision as of 19:28, 28 September 2021

Original Editor - Anas Mohamed Top Contributors - Anas Mohamed, Lucinda hampton and Kim Jackson

Purpose[edit | edit source]

The Flexion Initiation Test (FIT) is a diagnostic test for Distal Biceps Tendon Tears.

Technique[edit | edit source]

Step 1. Patient position in sitting or standing position.

Step 2. Patient’s arm is positioned in complete extension and supination.

Step 3. Examiner applies resistance on the palmar wrist, then ask the patient to flex the elbow against resistance.

Step 4. Positive test indicates when patient unable to first 10 to 15 degree of the elbow flexion.

Evidence[edit | edit source]

In 2021, the Evidence-Based Diagnostic Algorithm study was done in 125 patients. the study shows the flexion initiating test (FIT) has

Overall Complete tear and high grade partial tear
sensitivity 93% sensitivity 100%
specificity 96%

See the test diagnostics page for an explanation of statistics.

also, in this study shows using both hook test and flexion initiating test have high accuracy for examine both complete and high grade partial tear of Distal Biceps Tendon Tears. The methodology may help to prevent diagnosis delays, improve patient education, and preserve the option for timely primary surgical repair in the treatment of Distal Biceps Tendon Tears (DBTTs).[1]

also, in this study shows using both hook test and flexion initiating test have high accuracy for the examine both complete and high grade partial tear of Distal Biceps Tendon Tears. The methodology may help to prevent diagnosis delays, improve patient education, and preserve the option for timely primary surgical repair in the treatment of Distal Biceps Tendon Tears (DBTTs).

Reference[edit | edit source]

  1. Bono OJ, Shah SS, Peterson J, Golenbock SW, Ross G. The Flexion Initiation Test and an Evidence-Based Diagnostic Algorithm for Distal Biceps Tendon Tears. Arthrosc Sports Med Rehabil. 2021;3(3):e721-e726. Published 2021 Mar 13. doi:10.1016/j.asmr.2021.01.010