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Rehabilitation Practice and Science

Translated Title

概似率檢測肩部臨床理學檢查的定位能力：和軟組織超音波之間的相關性

Abstract

Shoulder pain is one of the most troublesome problems evaluated in our clinic. Numerous special physical tests have been developed to localize the origin of such pain. Soft tissue ultrasound, as an ancillary procedure, offers multiple advantages in evaluation of shoulder disorders: reliability, reproducibility, no radiation exposure, and low cost. Many authors have demonstrated that a strong correlation exists between ultrasound and magnetic resonance imaging in detecting shoulder pathology. In the current study, we determined the correlation between clinical presentation, findings on special physical tests, and findings from soft tissue ultrasonography in evaluation of shoulder pain. In order to eliminate the effect of disease prevalence, we applied the likelihood ratio combined with classified strength to evaluate the utility of special clinical tests in this patient population. Based on our results, only the Neer impingement test and the Hawkin-Kenny test increased the probability of detection of specific pathology. Our results did not reveal a strong relationship between these physical tests and ultrasonographic findings. We therefore suggest that patients with painful shoulders provide a detailed medical history and undergo a complete physical examination with ultrasonographic evaluation whenever possible.

Language

Traditional Chinese

First Page

29

Last Page

38

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