SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY
Abstract Rotator cuff injury is the most frequent etiology of shoulder pain, with 24% of these injuries involving the subscapular tendon. Objective: To correlate the findings of three clinical tests (Gerber test, Belly Press test, and Bear Hug test) with Magnetic Resonance Imaging (MRI) and arthros...
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Sociedade Brasileira de Ortopedia e Traumatologia
2025-02-01
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| Series: | Acta Ortopédica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000101400&lng=en&tlng=en |
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| author | Hélio Gonçalves Ribeiro Filho José Rodrigo Da Silva Ferreira Flávio Wildon Dantas Rodrigo De Araújo Santa Ritta |
| author_facet | Hélio Gonçalves Ribeiro Filho José Rodrigo Da Silva Ferreira Flávio Wildon Dantas Rodrigo De Araújo Santa Ritta |
| author_sort | Hélio Gonçalves Ribeiro Filho |
| collection | DOAJ |
| description | Abstract Rotator cuff injury is the most frequent etiology of shoulder pain, with 24% of these injuries involving the subscapular tendon. Objective: To correlate the findings of three clinical tests (Gerber test, Belly Press test, and Bear Hug test) with Magnetic Resonance Imaging (MRI) and arthroscopic findings of subscapular lesions. Methods: Prospective cross-sectional study, from November 2023 to March 2024, with 50 patients with rotator cuff injury, evaluating sensitivity, specificity, and accuracy among clinical tests, MRI, and arthroscopic findings. Results: 50 patients formed the sample, with 29 (58%) men and 21 (42%) women aged 42 to 86 years. We found a specificity of 88% and an accuracy of 54% in MRI. Regarding the Gerber test, the Belly Press test, and the Bear Hug test, the sensitivity was 64%, 64%, and 76%, with specificity of 75% for the Gerber and Belly Press tests and accuracy of 74% for the Bear Hug test. Conclusion: We concluded that the Bear Hug test showed higher sensitivity and accuracy in detecting subscapular tendon lesions, with MRI being the most specific method. Level of Evidence II; Prospective Study. |
| format | Article |
| id | doaj-art-adb746c3323f49f3b23196200d626bde |
| institution | Kabale University |
| issn | 1413-7852 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj-art-adb746c3323f49f3b23196200d626bde2025-02-04T07:41:38ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522025-02-0133110.1590/1413-785220253301e285935SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPYHélio Gonçalves Ribeiro Filhohttps://orcid.org/0009-0002-9668-9932José Rodrigo Da Silva Ferreirahttps://orcid.org/0000-0002-5918-6247Flávio Wildon Dantashttps://orcid.org/0009-0009-5380-5340Rodrigo De Araújo Santa Rittahttps://orcid.org/0009-0006-6310-0481Abstract Rotator cuff injury is the most frequent etiology of shoulder pain, with 24% of these injuries involving the subscapular tendon. Objective: To correlate the findings of three clinical tests (Gerber test, Belly Press test, and Bear Hug test) with Magnetic Resonance Imaging (MRI) and arthroscopic findings of subscapular lesions. Methods: Prospective cross-sectional study, from November 2023 to March 2024, with 50 patients with rotator cuff injury, evaluating sensitivity, specificity, and accuracy among clinical tests, MRI, and arthroscopic findings. Results: 50 patients formed the sample, with 29 (58%) men and 21 (42%) women aged 42 to 86 years. We found a specificity of 88% and an accuracy of 54% in MRI. Regarding the Gerber test, the Belly Press test, and the Bear Hug test, the sensitivity was 64%, 64%, and 76%, with specificity of 75% for the Gerber and Belly Press tests and accuracy of 74% for the Bear Hug test. Conclusion: We concluded that the Bear Hug test showed higher sensitivity and accuracy in detecting subscapular tendon lesions, with MRI being the most specific method. Level of Evidence II; Prospective Study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000101400&lng=en&tlng=enRotator CuffSubscapularisArthroscopyRotator Cuff Injuries |
| spellingShingle | Hélio Gonçalves Ribeiro Filho José Rodrigo Da Silva Ferreira Flávio Wildon Dantas Rodrigo De Araújo Santa Ritta SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY Acta Ortopédica Brasileira Rotator Cuff Subscapularis Arthroscopy Rotator Cuff Injuries |
| title | SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY |
| title_full | SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY |
| title_fullStr | SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY |
| title_full_unstemmed | SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY |
| title_short | SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY |
| title_sort | subscapular injury prospective comparison of physical examination mri and arthroscopy |
| topic | Rotator Cuff Subscapularis Arthroscopy Rotator Cuff Injuries |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000101400&lng=en&tlng=en |
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