2017 ISAKOS Biennial Congress ePoster #2131
Accuracy Of The Backward Traction Tests In The Diagnosis Of Bicipital Sheath Lesions And Bicipital Tendonitis:Comparison With Arthroscopic Findings
Weiming Wang, MD, PhD, Dalian, Liaoning CHINA
Xiaojun Ma, MD, Dalian, Liaoning CHINA
Yupeng Liu, MD, PhD, Dalian, Liaoning CHINA
Xiaobing Yu, MD, Dalian, Liaoning CHINA
Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning, CHINA
FDA Status Cleared
Summary
The backward traction tests is an effective diagnostic test for bicipital sheath lesions and bicipital tendonitis.
ePosters will be available shortly before Congress
Abstract
Background
Clinical tests are a key element in diagnosing bicipital sheath lesions and bicipital tendonitis.
Purpose
This study examined the clinical utility of new examination tests named backward traction tests, for the diagnosis of bicipital sheath lesions and bicipital tendonitis comparison with arthroscopic findings.
Methods
A total of 280 consecutive patients (131 women and 149 men) ranging in age from 18 to 79 years (mean age, 46 years )who were seen for shoulder pain underwent Speed’s tests and a new tests named backward traction tests.The results of the tests were confirmed during the arthroscopic examination.
Results
The surgical findings related to biceps pathology were as follows: 68 bicipital tendonitis, 108 bicipital sheath lesions, 84 patients had SLAP lesion,20 patients compound pathology were excluded.In bicipital tendonitis patients and bicipital sheath lesions patients, the positive rates were 94.1%, and 94.5% for backward traction tests and 48.5%, and 49.1% for Speed’s tests, respectively.In SLAP lesion patients,the positive rates were 92.9% for backward traction tests and 91.7% for Speed’s test, respectively.Statistical analysis showed that the positive rates of backward traction tests were higher than Speed’s tests In bicipital tendonitis patients and bicipital sheath lesions patients(p < 0.001).
Conclusions
The backward traction tests is an effective diagnostic test for bicipital sheath lesions and bicipital tendonitis .