Correlation of Physical Examination with Arthroscopic Findings in the Treatment of Rotator Cuff Tear

Flávio de Oliveira França; Glaydson Gomes Godinho; José Márcio Alves Freitas; Augusto Silveira Lang; Charles Diogo Ammar; Fabrício Martinelli

doi:10.1055/s-0041-1735945

Correlation of Physical Examination with Arthroscopic Findings in the Treatment of Rotator Cuff Tear

Rev Bras Ortop (Sao Paulo). 2022 Jun 30;57(3):467-471. doi: 10.1055/s-0041-1735945. eCollection 2022 Jun.

Authors

Flávio de Oliveira França¹, Glaydson Gomes Godinho¹, José Márcio Alves Freitas¹, Augusto Silveira Lang², Charles Diogo Ammar², Fabrício Martinelli²

Affiliations

¹ Serviço de Cirurgia do Ombro e Cotovelo, Hospital Ortopédico BH, Belo Horizonte, MG, Brasil.
² Especializando em Cirurgia do Ombro e Cotovelo do Hospital Ortopédico BH, Belo Horizonte, MG, Brasil.

Abstract

Objective To compare clinical data from the physical examination with arthroscopic findings in rotator cuff rupture. Methods A total of 177 patients submitted to arthroscopic treatment of rotator cuff rupture were selected, and arthroscopic findings were compared with physical examination. Results The impingement tests showed high sensitivity for rotator cuff rupture. Among the strength tests, the most sensitive was the Patte test (85.7%), and the one with the highest positive predictive value (PPV) was the Jobe test (95%). The Drop Sign test showed higher specificity and negative predictive value (NPV) (98.7 and 95.9%, respectively). Patients with a history of trauma were 3.5 times more likely to have a positive Lift Off test. Conclusion The impingement tests had high sensitivity for rotator cuff ruptures. The Jobe test showed similar sensitivity among patients who had partial or total supraspinal injury. For complete lesions of the subscapularis, The Lift Off and Belly Press tests showed high sensitivity and specificity.

Keywords: arthroscopy; physical examination; rotator cuff; rupture; shoulder.

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