肘关节伸展能否用作具有临床意义损伤的一项检测？
Can elbow extension be used as a test of clinically significant injury?
作者信息
Docherty Martin A, Schwab Robert A, Ma O John
机构信息
Department of Emergency Medicine, University of Missouri-Kansas City School of Medicine, Truman Medical Center, 64108, USA.
出版信息
South Med J. 2002 May;95(5):539-41.
BACKGROUND
The objective of this study was to evaluate whether a simple test of full elbow extension was a reliable indicator of bone/joint injury at the elbow joint.
METHODS
In this prospective study, patients with acute elbow injuries were asked to fully extend the injured elbow. Radiologists blinded to the results of the extension test interpreted the radiographs.
RESULTS
Of 114 patients with acute elbow injury entered into the study, 110 underwent adiographic evaluation. Inability to extend the elbow was found in 37 of 38 patients with bone injury. Only 1 of 54 patients who were able to fully extend the elbow was found to have bone/joint injury. The sensitivity and specificity of the elbow-extension test for identification of bone/joint injury was 97% and 69%, respectively.
CONCLUSIONS
The elbow-extension test can be used as a sensitive clinical screening test for patients with acute elbow injuries.
背景
本研究的目的是评估简单的肘关节完全伸展测试是否是肘关节骨/关节损伤的可靠指标。
方法
在这项前瞻性研究中，要求急性肘关节损伤患者将受伤的肘关节完全伸展。对伸展测试结果不知情的放射科医生解读X光片。
结果
纳入本研究的114例急性肘关节损伤患者中，110例接受了放射学评估。38例骨损伤患者中有37例无法伸展肘关节。在54例能够完全伸展肘关节的患者中，仅1例被发现有骨/关节损伤。肘关节伸展测试用于识别骨/关节损伤的敏感性和特异性分别为97%和69%。
结论
肘关节伸展测试可作为急性肘关节损伤患者的敏感临床筛查测试。
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