Department of Physical Therapy, High Point University, School of Health Sciences, High Point, NC 27262, USA.
Br J Sports Med. 2013 Sep;47(14):886-92. doi: 10.1136/bjsports-2012-091573. Epub 2012 Oct 18.
To systematically review and critique the evidence regarding the diagnostic accuracy of physical examination tests for the scapula in patients with shoulder disorders.
A systematic, computerised literature search of PubMED, EMBASE, CINAHL and the Cochrane Library databases (from database inception through January 2012) using keywords related to diagnostic accuracy of physical examination tests of the scapula. The Quality Assessment of Diagnostic Accuracy Studies tool was used to critique the quality of each paper.
Eight articles met the inclusion criteria; three were considered to be of high quality. Of the three high-quality studies, two were in reference to a 'diagnosis' of shoulder pain. Only one high-quality article referenced specific shoulder pathology of acromioclavicular dislocation with reported sensitivity of 71% and 41% for the scapular dyskinesis and SICK scapula test, respectively.
Overall, no physical examination test of the scapula was found to be useful in differentially diagnosing pathologies of the shoulder.
系统回顾和评价有关肩胛部体格检查试验对肩部疾病诊断准确性的证据。
采用与肩胛部体格检查试验的诊断准确性相关的关键词，对 PubMED、EMBASE、CINAHL 和 Cochrane 图书馆数据库（从数据库建立到 2012 年 1 月）进行系统的、计算机化的文献检索。使用诊断准确性研究质量评估工具来评价每篇论文的质量。
符合纳入标准的文章有 8 篇；其中 3 篇被认为质量较高。在这 3 篇高质量研究中，有 2 篇是关于肩部疼痛的“诊断”。只有一篇高质量的文章提到了特定的肩袖病理，即肩锁关节脱位，肩胛运动障碍和 SICK 肩胛试验的敏感性分别为 71%和 41%。
总体而言，尚未发现肩胛部的任何体格检查试验对肩部病变的鉴别诊断有用。
