Purpose: Identify patients who likely have a full-thickness rotator cuff tear based on specific physical examination findings.

Rule:

Park, et al.:
1. Painful Arc Sign
2. Drop-arm Sign
3. Infraspinatus Manual Muscle Test

Stage of CPR Development: Derivation.

Variables +LR Post-test Prob
2 3.57 69%
3 15.6 91%

Litaker, et al.:
1. Age > 65 years old
2. Weakness in external rotation
3. Night pain

Stage of CPR Development: Derivation.

Variables +LR -LR
3 9.84 0.54

Research:

1. Park HB, et al. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am. 2005; 87(7): 1446-55.

2. Litaker D, Pioro M, El Bilbeisi H, Brems J. Returning to the bedside: using the history and physical examination to identify rotator cuff tears. J Am Geriatr Soc. 2000; 48(12): 1633-7.

 

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