肩甲下筋負荷テストと鏡視所見の検討

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  • The Relationship between Subscapularis Clinical Tests and Arthroscopic Findings

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We perform belly press test and bear hug test as subscapularis(Ssc) clinical tests. We have the impression that their sensibility and specificity are high. We reviewed the relationship between these tests and arthroscopic findings. We evaluated 82 shoulders (62 males, 20 females) who had arthroscopic rotator cuff repair performed from May 2006 to May 2009. Their ages were from 32-78 years old ( average : 61.9 years old ). We performed belly press test and bear hug teat as the preoperative Ssc clinical tests. First 49 shoulders were evaluated by belly press test, next 33 shoulders were evaluated by bear hug test. We reviewed the relationship between Ssc clinical tests and arthroscopic findings. 28 shoulders were positive at belly press test. Arthroscopic findings showed 18 complete tears of Ssc, 2 partial tears of Ssc, 5 superior glenohumeral ligament (SGHL) injuries and 3 false positives (2 contractures and 1 palsy). 14 shoulders were positive at bear hug test. Arthroscopic findings showed 11 complete tears of Ssc, 2 partial tears of Ssc and 1 SGHL injury. 2 false negatives were found in each group. Positive judgement of the belly press test was more unclear than that of the bear hug test. So, false positive was found only in the belly press test.<BR>In this study, Belly press test and bear hug test had high sensibility and specificity. Bear hug test was a better Ssc clinical test, because its positive judgment was clear.

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  • 肩関節

    肩関節 34 (3), 609-611, 2010

    日本肩関節学会

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