A sono-clinical study: Is probe palpation better than a cross arm test for detecting acromio-clavicular joint pathology in chronic painful shoulder?
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
Objective: This prospective study was undertaken to determine whether palpation is more informative then cross arm test in diagnosing chronic acromio-clavicular joint pain (ACJ). This study used high resolution ultrasonography (HRU) as gold standard to confirm the findings of clinical examinations in patients presenting with chronic painful shoulder of multiple etiology. Methods: It is a non-interventional prospective observational study. The physicians performing the clinical shoulder examinations and those performing sono imaging were blinded to the results each made. Results: There were 73 patients, 35 males and 38 females whose mean age was 47.6 ± 11.51 years (range 22-80 years). Of them 36 patient had AC joint affection. Cross-arm test (CAT) showed sensitivity of 86.1 %, specificity of 91.9 %, positive predictive values of 91.9%,negative predictive value 87.2 %, positive likelihood ratio 10.63, negative likelihood ratio 0.15, Cohen’s κ coefficient 0.781. Probe palpation tenderness showed sensitivity of 100 %, specificity of 67.6 %, positive predictive values 75 %, negative predictive value 100 %, positive likelihood ratio 3.09, negative likelihood ratio 0, Cohen’s κ coefficient 0.673. Both the CAT and Probe tenderness showed strong correlation with a Pearson coefficient of 0.782 and 0.712. Conclusion: Cross arm Test is the most rational singular choice of test to be performed with confidence and it has better validity than probe palpation in diagnosing chronic painfully restricted shoulder with acromio-clavicular joint pathology.
Authors and Affiliations
Dr Kshetra Madhab Das, MBBS,M. D. (PM&R)
Keywords
Related Articles
- EP ID EP513255
- DOI -
- Views 71
- Downloads 0
Seven Accessory (Supernumerary) Thoracic Ribs in Left Thoracic Wall: A Case Report
Common rib anomalies include cervical ribs, bifid ribs, rib dysplasia, and intercostal fusion. The term “intrathoracic rib” signifies abnormal location of a rib within the thoracic cavity. An intrathoracic rib is a rare...
Comparision of Schatzker and Duparc Classification and Role of CT Scan in Tibial Plateau Fractures
Background: fracture of proximal end of tibia account for approximately 1/6 of all fracture seen and treated in emergency room. Proximal tibia Fracture frequently shows intraarticular involvement and communition. These f...
Seroprevalence of Common Transfusion Transmitted Infections among Blood Donors in Tertiary Care Rural Hospital of Central India: A Six Years Study
Objective: The aim and objective of the present study was to detect seroprevalence of transfusion transmitted infections (TTIs) among voluntary as well as replacement donors of rural population. Materials and Method: The...
Harlequin Ichthyosis: Case Report of a rare disorder and Stigma attached to it
Background: Disorders of cornification (ichthyoses) are a group of inherited disorders characterised clinically by extensive scaling andhistopathologically by hyperkeratosis. These disorders can cause considerable disfig...
A Study of the Safety and Efficacy of Staplers in Gastrointestinal Surgeries in Adults
Purpose 1 To study the immediate and delayed complications of stapling devices within one year of the surgeries. 2 To study the safety of stapling devices in elective and emergency surgeries. 3 To study the efficacy of s...