摘要
目的验证Hug-up试验用于诊断单独冈上肌腱损伤的价值,为临床治疗提供可靠依据。方法选取因肩关节疼痛及功能障碍初次进行肩关节镜手术治疗的患者,术前进行4项冈上肌腱损伤诊断方法:Job试验、落臂试验(Drop arm sign)、Hug-up试验及改良Hup-up试验,并进行关节镜检查验证。术中镜下对单纯冈上肌腱损伤的患者进行记录并分型。结果116例患者进行肩关节镜下手术治疗,其中40例存在单独冈上肌腱撕裂。其中,改良Hug-up试验的敏感度75.92%,特异性64.32%,具有较高的敏感性,但由于后关节囊及冈下肌及小圆肌亦处于高张力状态,所以特异性会受到一定影响。结论改良Hug-up试验对单纯冈上肌损伤有较高的敏感性及特异性,可以作为该损伤的筛选试验运用于临床,对冈上肌腱损伤的诊断和鉴别诊断有较好的临床意义。
Objective To verify the value of modified Hug-up test for diagnosis of supraspinatus tendon injury,and to provide a reliable basis for clinical treatment.Methods The patients who had undergone shoulder arthroscopy for the first time due to shoulder pain and dysfunction were selected.Four preoperative diagnostic methods for supraspinatus tendon injury were performed:Job test,Drop arm sign,Hug-up test and modified Hugup test.Then the arthroscopic was done.The patients with simple supraspinatus tendon injury were recorded and typed intraoperatively.Results 116 patients underwent shoulder arthroscopy,40 of which had a torn supraspinatus tendon alone.Among them,the modified Hug-up test had a sensitivity of 75.92%and a specificity of 64.32%,and has a high sensitivity.However,since the posterior joint capsule and the infraspinatus and small circular muscles were also in a high-tension state,so the specificity was affected.Conclusion The modified Hug-up test has higher sensitivity and specificity for simple supraspinatus injury,and can be a good screening test,and it has good clinical significance for the diagnosis and differential diagnosis of tendon injury.
出处
《浙江临床医学》
2020年第5期711-712,714,共3页
Zhejiang Clinical Medical Journal
关键词
冈上肌腱损伤
关节镜
肩袖损伤诊断
Supraspinatus Tendon Injury
Arthroscopy
Diagnosis Of Rotator Cuff Tear
