South Tees Hospital NHS Foundation Trust, Middlesbrough, Cleveland, UK.
Emerg Med J. 2021 Jan;38(1):78-79. doi: 10.1136/emermed-2020-211011.2.
A shortcut review was carried out to see whether the hook test is sensitive enough for a negative result to exclude complete distal biceps tendon rupture (DBTR) in adults. 3 papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that the hook test is moderately sensitive at detecting complete DBTR when carried out by skilled clinicians in specialist upper limb clinics. As a single test, it is not sensitive enough to be used to exclude complete DBTR.
进行了快捷回顾，以观察钩试验的结果是否足够灵敏，从而可以在成人中排除完全肱二头肌肌腱断裂（DBTR）。3 篇论文提供了最佳证据来回答临床问题。作者、出版日期和国家/地区、研究的患者群体、研究类型、相关结局、这些论文的结果和研究局限性均列于表中。结论是，在专业上肢诊所中由熟练的临床医生进行钩试验时，其检测完全 DBTR 的敏感性中等。作为单一检测方法，其不够灵敏，无法用于排除完全 DBTR。
