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8 results
  • Special physical examination tests for superior labrum anterior-posterior shoulder tears: an examination of clinical usefulness. [Comment]
  • JAJ Athl Train 2013 Nov-Dec; 48(6):856-8
  • Sandrey MA
  • CONCLUSIONS: The literature currently used as a reference for teaching in medical schools and continuing education lacks the necessary validity to help rule in or out a SLAP lesion or biceps tendon involvement. Based on the results from the systematic review conducted by Calvert et al, no tests clinically diagnose a SLAP lesion. This is a cause for concern as magnetic resonance imaging or magnetic resonance arthrography, which are frequently used to assess a possible SLAP lesion, may also have diagnostic flaws and may be cost prohibitive. Performing arthroscopy on every patient to rule the condition in or out is unethical, especially if a SLAP lesion is not present. More rigorous validity studies should be conducted for SLAP lesion physical examination tests using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool or Standards for Reporting Diagnostic Accuracy (STARD) criteria.
  • Clinical testing for tears of the glenoid labrum. [Journal Article]
  • AArthroscopy 2003 May-Jun; 19(5):517-23
  • Guanche CA, Jones DC
  • CONCLUSIONS: Clinical testing is useful in strengthening a diagnosis of a glenoid labral lesion, but the sensitivity and specificity are relatively low. Thus a decision to proceed with surgery should not be based on clinical examination alone.
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