Diagnostic value of active protraction and retraction for sternoclavicular joint pain

BMC Musculoskeletal Disorders

Lieven De Wilde¹  Tom Van Isacker²  Bart Berghs³  Anne Karelse⁴  Alexander Van Tongel¹ 

[1] Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, B-9000 Gent, Belgium;Department of Orthopaedics and Traumatology, AZ Sint-Lucas Brugge, Sint Lucaslaan 29, B 8310 Brugge, Belgium;Department of Orthopaedics and Traumatology, Upper Limb Unit, AZ Sint-Jan AV Brugge - Oostende, Campus Brugge, Ruddershove 1, B-8000 Brugge, Belgium;Department of Orthopaedics and Traumatology, Zorgsaam Terneuzen Wielingenlaan 2, 4535 PA Terneuzen, The Netherlands

关键词: Scapular protraction;    Specificity;    Sensitivity;    Arthopathy;    Sternoclavicular;    Clinical test;   

Others  :  1090857
DOI  :  10.1186/1471-2474-15-421

 received in 2014-10-28, accepted in 2014-12-01,  发布年份 2014

【 摘 要 】

Background

Sternoclavicular joint (SCJ) arthropathy is an uncommon cause of mechanical pain. The aim of this study is to evaluate the diagnostic value of two active clinical tests for localizing the sternoclavicular joint as the source of mechanical pain.

Methods

All patients between June 2011 and October 2013 that visited the orthopedic departments of three hospitals with atraumatic pain in the area of the SC joint were evaluated. Local swelling, pain at palpation, pain during arm elevation and two newly described tests (pain during active scapular protraction and retraction) were evaluated. CT images were evaluated. The patients were then divided into two groups according to whether they had a ≥50% decrease in pain following the SCJ injection. Sensitivity and specificity for local swelling, the four clinical tests and CT-scan were measured.

Results

Forty eight patients were included in this study and SC joint pain was confirmed in 44. The tests with highest sensitivity were pain on palpation, (93% sensitivity) and pain during active scapular protraction (86%). CT-scan showed a sensitivity of 84%. Local swelling showed a high specificity (100%).

Conclusion

Pain at the SCJ during active scapular protraction is a good clinical diagnostic tool for SC arthropathy.

【 授权许可】

   
2014 Van Tongel et al.; licensee BioMed Central Ltd.

【 图 表 】

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