Validity of Cyriax's Test in Young Male with Shoulder Pain Compared to Ultrasonographic Findings.
- Author:
Se Hong KIM
1
;
Ju Hye CHUNG
;
Whan Seok CHOI
Author Information
1. Department of Family Medicine, Kangnam St. Mary's Hospital, College of Medicine, Catholic University, Seoul, Korea. fmchs@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
shoulder;
Cyriax;
selective tension;
ultrasonography
- MeSH:
Bursitis;
Diagnosis;
Humans;
Male*;
Physical Examination;
Prospective Studies;
Rotator Cuff;
Sensitivity and Specificity;
Shoulder Joint;
Shoulder Pain*;
Shoulder*;
Specialization;
Tendons;
Ultrasonography
- From:Journal of the Korean Academy of Family Medicine
2007;28(1):51-57
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was designed to evaluate the validity of the Cyriax's selective tension examination as a diagnostic tool in young male with shoulder pain compared to ultrasonographic findings. METHODS: Twenty young male patients with 26 shoulder pain cases were prospectively included in this study. All had a physical examination performed by Cyriax's selective tension method. As a diagnostic gold standard, ultrasonographic examination was carried out within one week of the physical examination by two specialists. RESULTS: The most common findings by sonographic evaluation were sub-deltoid bursitis (65.4%). Sub-deltoid bursal effusion without rotator cuff injury were 10 cases (58.8%) and 17 cases (41.2%) showed combined rotator cuff lesion. The most common diagnoses by physical examination were sub-deltoid bursitis (46.2%) followed by supraspinatus tendon lesion (19.2%). Clinical assessment by physical examination showed low sensitivity in the diagnosis of rotator cuff lesion (42.9%) and sub-deltoid bursitis (70.6%) but high sensitivity and specificity in the diagnosis of shoulder joint instability (sensitivity 100%, specificity 91.7%). CONCLUSION: This study suggest that the validity of Cyriax's selective tension test for the diagnosis of shoulder pain are questionable.
