J Orthop Sports Phys Ther. 2020 May;50(5):222-225. doi: 10.2519/jospt.2020.0606. Epub 2020 Apr 9.
"Special tests" for rotator cuff-related shoulder pain (RCRSP) have passed their sell-by date. In this Viewpoint, we outline fundamental flaws in the validity of these tests and their proposed ability to accurately identify a pathoanatomical source of pain. The potential harm of these special tests comes in conjunction with imaging findings that are utilized to inform a structural diagnosis or recommend invasive procedures. We offer recommendations for performing a clinical interview and physical examination for people with RCRSP that does not include shoulder orthopaedic tests. .
“特殊测试”在肩袖相关的肩部疼痛(RCRSP)中已经过时了。在这篇观点文章中,我们概述了这些测试在有效性方面的基本缺陷,以及它们提出的准确识别疼痛病理解剖源的能力。这些特殊测试的潜在危害与影像学发现相结合,这些影像学发现被用来提供结构诊断或推荐侵入性程序。我们为患有 RCRSP 的人提供了进行临床访谈和体格检查的建议,其中不包括肩部矫形测试。