A screening test for biceps long head tendon and pulley injuries:the capture test
10.3969/j.issn.1000-6710.2024.12.003
- VernacularTitle:一种肱二头肌长头腱及滑车损伤的筛查试验——俘获试验
- Author:
Jue GONG
1
;
Zhiheng WEI
1
;
Haocheng WANG
1
;
Mengyang JIA
1
;
Weiming WANG
1
;
Xianxiang XIANG
1
Author Information
1. 辽宁省大连市大连大学附属新华医院运动医学科 大连 116000
- Publication Type:Journal Article
- Keywords:
physical examination;
long head of biceps tendon injury;
pully injury;
capture test
- From:
Chinese Journal of Sports Medicine
2024;43(12):954-963
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of conventional shoulder physical examination tests as well as the capture test in the diagnosis of long head of biceps tendon(LHBT) and pully injuries. Methods Totally 216 shoulder painpatients undergoing arthroscopic surgery in Xinhua Hospital,Dalian University were performed such conventional shoulder examination tests as the Yergason test,Speed test,Upper cut test,and BT test,as well as the new examination method--the capture test. The sen-sitivity,specificity,positive likelihood ratio and negative likelihood ratio of each test were compared with the results of arthroscopic examination as the gold standard in the diagnosis of LHBT injury and gliding injury,so as to determine their predictive value for clinical diagnosis. Results A total of 216 patients underwent surgery,101 males and 115 females,ranging in age from 22 to 71 years. For the diagnosis of LHBT and pully injury,the Capture test had the highest sensitivity of 0.77 and 0.84(P<0.05) and showed an advantage over the Speed test in terms of specificity(0.57 vs. 0.68,P=0.016;0.44 vs. 0.61,P=0.017),without significant differences from the other three tests(P>0.05). The cap-ture test had the lowest negative likelihood ratio(0.40/0.36) for diagnosing both LHBT and scooter inju-ries(P<0.05). Moreover,according to regression analysis,it can be concluded that in the diagnosis of pulley injuries,OR of the capture test,the Yergason test,the BT test,the Upper cut test and the Speed test were 29.85(P<0.05),0.43(P=0.006),3.82(P=0.014),1.2 and 0.59(P>0.05),respectively. However,in the diagnosis of biceps long head tendon injury,the corresponding values were 30.1(P<0.05),0.034(P<0.05),4.472(P=0.006),3.34 and 0.07(P>0.05),respectively. Conclusion In the diag-nosis of LHBT and pully injuries,the Capture test has the highest sensitivity and lowest negative like-lihood ratio compared to conventional testing and can be used as a promising screening test in the fu-ture.
