常用激发试验在肩痛评估中的诊断价值——当前实践一瞥
Diagnostic Value of Frequently Implemented Provocative Tests in the Assessment of Shoulder Pain-A Glimpse of Current Practice.
作者信息
Rosenberg Nahum
机构信息
Laboratory of Musculoskeletal Research, Rambam-Health Care Campus and Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, 8 HaAliya HaShniya St., POB 9602, Haifa 3109601, Israel.
出版信息
Medicina (Kaunas). 2021 Mar 1;57(3):221. doi: 10.3390/medicina57030221.
Abstract
Initial evaluation of chronic shoulder disability is a diagnostic challenge due to the anatomic complexity of the shoulder joints. For this purpose, several diagnostic tools utilizing provocative testing exist, but only a few have a reliable basis for their diagnostic value. Therefore, objectively determining the predictive value of these tests in identifying the precise anatomical source for disability-subacromial, intraarticular or other-is essential in order to proceed with further imaging evaluations for final objective diagnoses. Using validated clusters of provocative tests should improve their diagnostic values.
摘要
由于肩关节解剖结构复杂，慢性肩部功能障碍的初步评估具有诊断挑战性。为此，有几种利用激发试验的诊断工具，但只有少数工具的诊断价值有可靠依据。因此，客观确定这些测试在识别功能障碍的确切解剖来源（肩峰下、关节内或其他）方面的预测价值，对于继续进行进一步的影像学评估以获得最终客观诊断至关重要。使用经过验证的激发试验组合应能提高其诊断价值。
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