The validity and accuracy of clinical tests used to detect labral pathology of the shoulder – A systematic review

2009 ◽  
Vol 14 (2) ◽  
pp. 119-130 ◽  
Author(s):  
Wendy Munro ◽  
Raymond Healy
2020 ◽  
Vol 6 (1) ◽  
pp. e000772 ◽  
Author(s):  
Rahel Caliesch ◽  
Martin Sattelmayer ◽  
Stephan Reichenbach ◽  
Marcel Zwahlen ◽  
Roger Hilfiker

ObjectivesTo determine the diagnostic accuracy of clinical tests for cam or pincer morphology in individuals with suspected femoroacetabular impingement (FAI) syndrome and to evaluate their clinical utility.DesignA systematic review of studies investigating the diagnostic accuracy of clinical tests for cam and pincer morphology.Data sourcesPubMed, Embase, CINAHL and SPORTDiscus.Eligibility criteria for selecting studiesStudies investigating the diagnostic accuracy of clinical tests for cam, pincer or mixed morphology in symptomatic patients. Patients had to undergo an index test and a reference test able to identify cam or pincer morphology. Study results have to allow the calculation of true or false positives and/or negatives to calculate sensitivity, specificity, likelihood ratios (LR) and post-test probabilities.ResultsEight studies were included, investigating 17 tests and two test combinations. The studies reported a low specificity for all tests, ranging from 0.11 to 0.56. Sensitivity ranged from 0.11 to 1.00, with high sensitivities for the flexion-adduction-internal rotation (FADIR), foot progression angle walking (FPAW) and maximal squat tests. We estimated that negative test results on all of these three tests would result in a negative LR of 0.15. However, we judged the studies to provide low-quality evidence.ConclusionThere is low-quality evidence that negative test results reduce the post-test probability of cam or mixed morphologies and that consecutive testing with the FADIR, FPAW and maximal squat tests might be used as a clinical test combination. We would not recommend their use to confirm the diagnosis of FAI syndrome.PROSPERO registration numberCRD42018079116.


2011 ◽  
Vol 41 (3) ◽  
pp. 130-140 ◽  
Author(s):  
Abdullah M. Alqarni ◽  
Anthony G. Schneiders ◽  
Paul A. Hendrick

2012 ◽  
Vol 47 (10) ◽  
pp. 620-628 ◽  
Author(s):  
Amy D Sman ◽  
Claire E Hiller ◽  
Kathryn M Refshauge

Metals ◽  
2018 ◽  
Vol 8 (5) ◽  
pp. 313 ◽  
Author(s):  
Rosa Rojo ◽  
María Prados-Privado ◽  
Antonio Reinoso ◽  
Juan Prados-Frutos

2012 ◽  
Vol 64 (2) ◽  
pp. 116-134 ◽  
Author(s):  
Ève Chaput ◽  
Anita Gross ◽  
Ryan Stewart ◽  
Gordon Nadeau ◽  
Charlie H. Goldsmith

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e316
Author(s):  
N.E. D’hondt ◽  
J.J.M. Pool ◽  
S.T. Hacquebord ◽  
C.B. Terwee ◽  
H. Kiers ◽  
...  

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