SLAP lesionに対する各種徒手検査の有用性について

  • 多嶋 佳孝
    Department of Orthopaedic Surgery, Doai Memorial Hospital
  • 中川 照彦
    Department of Orthopaedic Surgery, Doai Memorial Hospital
  • 土屋 正光
    Department of Orthopaedic Surgery, Doai Memorial Hospital
  • 杉原 隆之
    Department of Orthopaedic Surgery. Tokyo Medical and Dental University
  • 宗田 大
    Department of Orthopaedic Surgery. Tokyo Medical and Dental University
  • 四宮 謙一
    Department of Orthopaedic Surgery. Tokyo Medical and Dental University
  • 平塚 建太郎
    Department of Orthopaedic Surgery, Kobari General Hospital

書誌事項

タイトル別名
  • Diagnostic Value of Physical Examinations for a SLAP lesion

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抄録

The purpose of this study was to determine the diagnostic values of various physical examinations for a SLAP lesion. MR arthrography was performed in 77 shoulders (74 males and 3 females). The mean age was 24.8 years old. Sensitivity, specificity and accuracy were calculated using the crank test, pain provocation test (Mimori test), O'Brien's test, anterior apprehension test, impingement test(Neer and Hawkins), the sulcus sign, load &shift test, and tenderness of the rotator interval. In 46 shoulders, superior labrum detachments were recognized on MR arthrography. The sensitivities were 96% in the crank test,80% in the pain provocation test,72% in O'Brien's test, and 87% in the anterior apprehension test. The specificities were 28% in the crank test,74% in the pain provocation test,71% in O'Brien's test, and 42% in the anterior apprehension test. Accuracies were 68% in the crank test,78% in the pain provocation test,72% in O'Brien's test, and 69% inthe anterior apprehension test. Joint laxity tests showed a low sensitivity, but high specificity. We thought that the physical tests for a SLAP lesion were not so available for the diagnosis.

収録刊行物

  • Katakansetsu

    Katakansetsu 29 (3), 681-683, 2005

    Japan Shoulder Society

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