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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.

DOI:10.3390/medicina57030221
PMID:33804384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7999976/
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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