scholarly journals Simple and Patient-Friendly Clinical Diagnostic Tests for de Quervain’s Disease.

2020 ◽  
pp. 1-5
Keyword(s):  
Diagnostic Tests ◽  
Normal Individual ◽  
High Accuracy ◽  
Wrist Pain ◽  
Clinical Tests ◽  
Common Cause ◽  
De Quervain’S Disease ◽  
De Quervain’S Tenosynovitis ◽  
Clinical Diagnostic

Abstract De Quervain’s tenosynovitis is a relatively common cause of radial sided wrist pain. The standard clinical tests, including both Eichhoff and Finkelstein’s tests, are very painful; even in a normal individual without any inflammation of the tendons. We propose a set of simple, gentle and more patient-friendly clinical tests with high accuracy.

scholarly journals Evidence-Based Review of Clinical Diagnostic Tests and Predictive Clinical Tests That Evaluate Response to Conservative Rehabilitation for Posterior Glenohumeral Instability: A Systematic Review

2018 ◽  
Vol 10 (2) ◽  
pp. 141-145 ◽  
Author(s):  
Jasdeep Dhir ◽  
Myles Willis ◽  
Lyn Watson ◽  
Lyndsay Somerville ◽  
Jackie Sadi
Keyword(s):  
Systematic Review ◽  
Diagnostic Tests ◽  
Glenohumeral Joint ◽  
Evidence Based ◽  
Clinical Tests ◽  
Posterior Instability ◽  
Glenohumeral Instability ◽  
Predictive Tests ◽  
Clinical Diagnostic ◽  
Weak Evidence

Context: Posterior glenohumeral instability is poorly understood and can be challenging to recognize and evaluate. Using evidence-based clinical and predictive tests can assist clinicians in appropriate assessment and management. Objective: To review evidence-based clinical diagnostic tests for posterior glenohumeral instability and predictive tests that identify responders to conservative management. Data Sources: A comprehensive electronic bibliographic search was conducted using Embase, Ovid MEDLINE, PEDro, and CINAHL databases from their date of inception to February 2017. Study Selection: Studies were included for further review if they (1) reported on clinical diagnostic tests for posterior or posteroinferior instability of the glenohumeral joint, (2) assessed predictive clinical tests for posterior instability of the glenohumeral joint, and (3) were in English. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: Data were extracted from the studies by 2 independent reviewers and included patient demographics and characteristics, index/reference test details (name and description of test), findings, and data available to calculate psychometric properties. Results: Five diagnostic and 2 predictive studies were selected for review. There was weak evidence for the use of the jerk test, Kim test, posterior impingement sign, and O’Brien test as stand-alone clinical tests for identifying posterior instability. Additionally, there was weak evidence to support the use of the painless jerk test and the hand squeeze sign as predictive tests for responders to conservative management. These findings are attributed to study design limitations, including small and/or nonrepresentative samples. Conclusion: Clustering of thorough history and physical examination findings, including the aforementioned tests, may identify those with posterior glenohumeral instability and assist in developing management strategies.

Forearm, hand, and wrist

2013 ◽  
pp. 1314-1322
Author(s):  
Karen Walker-Bone ◽  
Benjamin Ellis
Keyword(s):  
Rheumatoid Arthritis ◽  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Musculoskeletal System ◽  
Carpal Tunnel ◽  
Diagnostic Tests ◽  
De Quervain’S Disease ◽  
Vital Part ◽  
Tunnel Syndrome ◽  
Forearm Pain

The forearm, hand, and wrist is a functionally vital part of the musculoskeletal system and in consequence, is highly sophisticated and complex in its anatomical development. Frequently, the hand and wrist may be the site of onset of symptoms of a polyarthropathy such as rheumatoid arthritis or of osteoarthritis, so that the physician should always seek to screen for such conditions before making a local diagnosis. Tenosynovitis, de Quervain’s disease, trigger digit, Dupuytren’s, and carpal tunnel syndrome are local soft tissue pathologies which can usually be discriminated on clinical grounds with or without the use of simple diagnostic tests and are satisfying to treat for the most part. Non-specific forearm pain is more complex, with much controversy surrounding not only its aetiopathogenesis but also its existence. It can be difficult to diagnose and difficult to treat.

scholarly journals Medical Diagnostic Tests: A Review of Test Anatomy, Phases, and Statistical Treatment of Data

2019 ◽  
Vol 2019 ◽  
pp. 1-22 ◽  
Author(s):  
Sorana D. Bolboacă
Keyword(s):  
Clinical Practice ◽  
Diagnostic Test ◽  
Diagnostic Tests ◽  
Statistical Treatment ◽  
High Accuracy ◽  
Phase Iii ◽  
Medical Diagnostic ◽  
Statistical Approaches ◽  
Phase I And Ii

Diagnostic tests are approaches used in clinical practice to identify with high accuracy the disease of a particular patient and thus to provide early and proper treatment. Reporting high-quality results of diagnostic tests, for both basic and advanced methods, is solely the responsibility of the authors. Despite the existence of recommendation and standards regarding the content or format of statistical aspects, the quality of what and how the statistic is reported when a diagnostic test is assessed varied from excellent to very poor. This article briefly reviews the steps in the evaluation of a diagnostic test from the anatomy, to the role in clinical practice, and to the statistical methods used to show their performances. The statistical approaches are linked with the phase, clinical question, and objective and are accompanied by examples. More details are provided for phase I and II studies while the statistical treatment of phase III and IV is just briefly presented. Several free online resources useful in the calculation of some statistics are also given.

A Narrative Review on the Tests Used in Biomechanical Functional Assessment of the Foot and Leg: Diagnostic Tests of Deformities and Compensations

2020 ◽  
Vol 110 (6) ◽  
Author(s):  
Gaetano Di Stasio ◽  
Mia Montanelli
Keyword(s):  
Functional Assessment ◽  
Lower Limb ◽  
Diagnostic Tests ◽  
Evaluation Model ◽  
Scientific Evidence ◽  
Numerical Data ◽  
Functional Evaluation ◽  
Diagnostic Reliability ◽  
Clinical Diagnostic ◽  
Depth Analysis

Background To date, scientific literature has not as yet come up with any review showing the diagnostic tests used for functional assessment of the foot and leg. Methods A literature review was conducted of electronic databases (MEDLINE, PEDro, DOAJ, BioMed Central, PLOS, and Centre for Reviews and Dissemination at the University of York) up to December 8, 2018. The biomechanical tests, which have adequate supportive literature, were divided into qualitative tests that provide a dichotomy/trichotomy-type answer to clinical diagnostic questions; semiquantitative tests that provide numerical data to clinical diagnostic questions; and quantitative tests that record continuous numerical data (in analogue or digital form). Results These tests produce a useful functional evaluation model of the foot and leg for different purposes: evaluation of lower limb deficits or abnormalities in healthy patients and in athletes (in sports or other physical activities); assessment of tissue stress syndromes caused by pathomechanics; evaluation of lower limb deficits or abnormalities in rheumatic disease and diabetic foot patients; and to determine the appropriate functional or semifunctional foot orthotic therapy and therapeutic path used in gait rehabilitation. Conclusions Many of these tests have adequate diagnostic reliability and reproducibility and therefore can be considered diagnostic. Few of these are validated, and some have initiated the validation process by determining their sensitivity and specificity. The widespread use of these tools in clinical practice (diagnosis of function) lacks scientific evidence and in-depth analysis of their limitations.

Serum metabolomics uncovering specific metabolite signatures of intra- and extrahepatic cholangiocarcinoma

2016 ◽  
Vol 12 (2) ◽  
pp. 334-340 ◽  
Author(s):  
Qun Liang ◽  
Han Liu ◽  
Tianyu Zhang ◽  
Yan Jiang ◽  
Haitao Xing ◽  
...  
Keyword(s):  
Diagnostic Tests ◽  
High Accuracy ◽  
Extrahepatic Cholangiocarcinoma ◽  
Serum Metabolites ◽  
Serum Metabolomics

There is a lack of diagnostic tests for cholangiocarcinoma. This report identifies 4 serum metabolites which could differentiate cholangiocarcinoma patients with high accuracy.

Incidental findings in genetic research and clinical diagnostic tests: A systematic review

2012 ◽  
Vol 158A (12) ◽  
pp. 3159-3167 ◽  
Author(s):  
Leigh Jackson ◽  
Lesley Goldsmith ◽  
Anita O'Connor ◽  
Heather Skirton
Keyword(s):  
Systematic Review ◽  
Diagnostic Tests ◽  
Incidental Findings ◽  
Genetic Research ◽  
Clinical Diagnostic

scholarly journals Correlation between Clinical Tests and Magnetic Resonance Imaging Finding in Diagnosis of Chronic Ulnar-sided Wrist Pain

2021 ◽  
pp. 64-70
Author(s):  
Islam Talaat Khalil Attia ◽  
Ali Mahmoud Emran ◽  
Elhafez Abd Elgafez Megahed ◽  
Mamdouh Fouad Lashin
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Stress Test ◽  
Magnetic Resonance Imaging Finding ◽  
Wrist Pain ◽  
Sign Test ◽  
Bone Lesions ◽  
Positive Finding ◽  
Clinical Tests ◽  
Tissue Structures

Background: Ulnar-sided wrist pain is a common cause of upper- extremity disability. Presentation can vary from acute traumatic injuries to chronic degenerative conditions. Carful clinical examination should be done, there are some provocative tests for some pathologies which induce pain when the patient has the specific pathology for the test. MRI of the wrist is often challenging because the components of the wrist have complex anatomy of bone and soft tissues, with ligaments and cartilage which are small sized structures measuring millimeters. MRI is a one of advanced imaging techniques that play an important role in evaluating the wrist and is a useful examination modality because of its multiplanar, multisequence capability and its excellent resolution of soft tissue structures. MRI is particularly advantageous for assessing occult bone lesions and soft tissue structures around the wrist such as cartilages, tendons, ligaments and nerves. Aim: The aim of this study is to assess the role and accuracy of clinical tests and MRI in diagnosis of chronic ulnar-sided wrist pain causes. Patients and Methods: This is a prospective study and was conducted on a 50 adult patients complaining from chronic ulnar side wrist pain. They were attended to Orthopedic Department of Tanta University Hospitals over a period of 6 months starting from November 2019 till May 2020. Results: MRI gave positive finding in most of patients (92%), while negative in about (8%) of cases, this means that there are some pathologies need more investigations to be diagnosed. Most of Clinical tests also gave a help in diagnosis of the cause of the pain especially ulnocarpal stress test, fovea sign test, ECU synergy test and piano key test which by statistics showed significant results but LT ballottement test had insignificant results so LTL pathology can't be diagnosed by clinical tests only but needs more investigations as MRI. So some pathologies can be diagnosed clinically as ECU tenosynovitis, but other pathologies need more investigations like MRI like LTL tear, also some pathologies need more investigations. Conclusion: Most of clinical tests give significant results in diagnosis of chronic ulnar-sided wrist pain except for some pathologies like LTL tear needs more investigations, also MRI has important role and gives significant results in diagnosis.

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