Freitas Anderson, Rosa Tatiane Morelati, Macedo Neto Silvio Leite DE, Bandeira Vanessa DE Carvalho, Souto Diogo Ranier DE Macedo, Barin Fabrício Reichert
Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brazil.
Centro Universitário de Brasília, DF, Brazil.
Acta Ortop Bras. 2022 Apr 15;30(2):e241045. doi: 10.1590/1413-785220223002241045. eCollection 2022.
This study aims to describe a simple and accurate semiological method executing a specific maneuver with the lower limb to direct the semiological investigation towards the tendinopathies in the gluteus medius and minimus.
Fifty patients participated in the study, with a mean age of 44.1 ± 13 years, with persistent pain on the side of the hip for more than three months. To compare the FABREX (proposed test) and Lequesne semiological tests, in the diagnosis of tendinopathies in the gluteus medius and minimus, Magnetic Resonance Imaging (MRI) was adopted as the gold standard.
FABREX presented high sensitivity and moderate specificity for tendinopathy in the gluteus medius and high sensitivity and specificity for tendinopathy in the gluteus minimus.
The proposed test, when positive, can be used to determine the diagnosis of gluteal tendinopathies (high specificity). Moreover, it has high sensitivity, excluding the diagnosis when negative. This study represents the initial step for validating the FABREX test, and can therefore be considered a simple and accurate procedure to identify patients with or without gluteal tendinopathies.
本研究旨在描述一种简单且准确的症状学方法，通过对下肢执行特定动作，将症状学检查导向臀中肌和臀小肌肌腱病。
五十名患者参与了该研究，平均年龄为44.1±13岁，髋部一侧持续疼痛超过三个月。为比较FABREX（提议的检查）和勒凯纳症状学检查在诊断臀中肌和臀小肌肌腱病中的效果，采用磁共振成像（MRI）作为金标准。
FABREX对臀中肌肌腱病表现出高敏感性和中等特异性，对臀小肌肌腱病表现出高敏感性和特异性。
提议的检查呈阳性时，可用于确定臀肌肌腱病的诊断（高特异性）。此外，它具有高敏感性，阴性时可排除诊断。本研究是验证FABREX检查的第一步，因此可被视为一种识别有无臀肌肌腱病患者的简单且准确的方法。
