CLINICAL DIAGNOSIS OF SUBSCAPULARIS TENDON TEAR USING THE BEAR HUG SEMIOLOGICAL MANEUVER

Objective: To evaluate the Bear Hug maneuver for clinically diagnosing subscapularis tendon tears, and compare this with other maneuvers described previously (Lift-off, Napoleon and Belly Press). Methods: Forty-nine patients with rotator cuff injuries who had undergone arthroscopy to repair the inju...

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Detalles Bibliográficos
Autores principales: Schiefer, Márcio, Júnior, Yonder Archanjo Ching-San, Silva, Sérgio Maurício, Fontenelle, César, Dias Carvalho, Marcos Genúncio, de Faria, Fabio Garcia, Franco, José Sérgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799441/
https://www.ncbi.nlm.nih.gov/pubmed/27047870
http://dx.doi.org/10.1016/S2255-4971(15)30008-2
Descripción
Sumario:Objective: To evaluate the Bear Hug maneuver for clinically diagnosing subscapularis tendon tears, and compare this with other maneuvers described previously (Lift-off, Napoleon and Belly Press). Methods: Forty-nine patients with rotator cuff injuries who had undergone arthroscopy to repair the injury and had previously been assessed using the semiological maneuvers mentioned above were evaluated. Results: The diagnostic values obtained for the Bear Hug test were as follows: sensitivity 75%, specificity 56%, positive predictive value 62%, negative predictive value 70% and accuracy 65%. Conclusion: The highest sensitivity and negative predictive value values were obtained with the Bear Hug test. The highest specificity value was seen with the Lift-off test. The Belly press test gave the greatest specificity, positive predictive and accuracy values.

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