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A Longitudinal Analysis of the Internal Rotation and Shift (IRO/Shift) Test Following Arthroscopic Repair of Superior Rotator Cuff Lesions

Although the use of clinical tests to diagnose superior rotator cuff pathology is common, there is paucity in the research regarding the accuracy of such tests following arthroscopic repair. The aim of this study was to determine the accuracy of the IRO/Shift test compared to the Jobe test at 3 mont...

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Autores principales: Schwesig, René, Fieseler, George, Cornelius, Jakob, Sendler, Julia, Schulze, Stephan, Hermassi, Souhail, Delank, Karl-Stefan, Laudner, Kevin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9784930/
https://www.ncbi.nlm.nih.gov/pubmed/36556239
http://dx.doi.org/10.3390/jpm12122018
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author Schwesig, René
Fieseler, George
Cornelius, Jakob
Sendler, Julia
Schulze, Stephan
Hermassi, Souhail
Delank, Karl-Stefan
Laudner, Kevin
author_facet Schwesig, René
Fieseler, George
Cornelius, Jakob
Sendler, Julia
Schulze, Stephan
Hermassi, Souhail
Delank, Karl-Stefan
Laudner, Kevin
author_sort Schwesig, René
collection PubMed
description Although the use of clinical tests to diagnose superior rotator cuff pathology is common, there is paucity in the research regarding the accuracy of such tests following arthroscopic repair. The aim of this study was to determine the accuracy of the IRO/Shift test compared to the Jobe test at 3 months and 6 months post-surgery for superior rotator cuff repair. Arthroscopic repair was conducted on 51 patients who were subsequently seen for clinical evaluation at 3 and 6 months following surgery. At 3 months post-surgery only 27% of the patients had a negative IRO/Shift test and 18% had a negative Jobe test. However, at 6 months 88% of the patients presented with a negative IRO/Shift test and 61% a negative Jobe test. When compared to each other, the IRO/Shift test and the Jobe test had 90% agreement pre-operatively, 71% agreement at 3 months post-surgery, and 67% agreement at 6 months. These results demonstrate that the accuracy of the IRO/Shift test and the Jobe test improved between 3 and 6 months following arthroscopic surgery of the superior rotator cuff, with the IRO/Shift test having better accuracy.
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spelling pubmed-97849302022-12-24 A Longitudinal Analysis of the Internal Rotation and Shift (IRO/Shift) Test Following Arthroscopic Repair of Superior Rotator Cuff Lesions Schwesig, René Fieseler, George Cornelius, Jakob Sendler, Julia Schulze, Stephan Hermassi, Souhail Delank, Karl-Stefan Laudner, Kevin J Pers Med Study Protocol Although the use of clinical tests to diagnose superior rotator cuff pathology is common, there is paucity in the research regarding the accuracy of such tests following arthroscopic repair. The aim of this study was to determine the accuracy of the IRO/Shift test compared to the Jobe test at 3 months and 6 months post-surgery for superior rotator cuff repair. Arthroscopic repair was conducted on 51 patients who were subsequently seen for clinical evaluation at 3 and 6 months following surgery. At 3 months post-surgery only 27% of the patients had a negative IRO/Shift test and 18% had a negative Jobe test. However, at 6 months 88% of the patients presented with a negative IRO/Shift test and 61% a negative Jobe test. When compared to each other, the IRO/Shift test and the Jobe test had 90% agreement pre-operatively, 71% agreement at 3 months post-surgery, and 67% agreement at 6 months. These results demonstrate that the accuracy of the IRO/Shift test and the Jobe test improved between 3 and 6 months following arthroscopic surgery of the superior rotator cuff, with the IRO/Shift test having better accuracy. MDPI 2022-12-07 /pmc/articles/PMC9784930/ /pubmed/36556239 http://dx.doi.org/10.3390/jpm12122018 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Study Protocol
Schwesig, René
Fieseler, George
Cornelius, Jakob
Sendler, Julia
Schulze, Stephan
Hermassi, Souhail
Delank, Karl-Stefan
Laudner, Kevin
A Longitudinal Analysis of the Internal Rotation and Shift (IRO/Shift) Test Following Arthroscopic Repair of Superior Rotator Cuff Lesions
title A Longitudinal Analysis of the Internal Rotation and Shift (IRO/Shift) Test Following Arthroscopic Repair of Superior Rotator Cuff Lesions
title_full A Longitudinal Analysis of the Internal Rotation and Shift (IRO/Shift) Test Following Arthroscopic Repair of Superior Rotator Cuff Lesions
title_fullStr A Longitudinal Analysis of the Internal Rotation and Shift (IRO/Shift) Test Following Arthroscopic Repair of Superior Rotator Cuff Lesions
title_full_unstemmed A Longitudinal Analysis of the Internal Rotation and Shift (IRO/Shift) Test Following Arthroscopic Repair of Superior Rotator Cuff Lesions
title_short A Longitudinal Analysis of the Internal Rotation and Shift (IRO/Shift) Test Following Arthroscopic Repair of Superior Rotator Cuff Lesions
title_sort longitudinal analysis of the internal rotation and shift (iro/shift) test following arthroscopic repair of superior rotator cuff lesions
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9784930/
https://www.ncbi.nlm.nih.gov/pubmed/36556239
http://dx.doi.org/10.3390/jpm12122018
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