Coracoid pain test: a new clinical sign of shoulder adhesive capsulitis. Authors Carbone S, et al. Show all Journal Int Orthop. 2010 Mar;34(3):385-8. doi: 10.1007/s00264-009-0791-4. Epub 2009 May 6. Affiliation Department of Orthopaedics and Traumatology, University of Rome Sapienza, Rome, Italy. [email protected] Abstract Patients with adhesive capsulitis were clinically evaluated to establish whether pain elicited by pressure on the coracoid area may be considered a pathognomonic sign of this condition. The study group included 85 patients with primary adhesive capsulitis, 465 with rotator cuff tear, 48 with calcifying tendonitis, 16 with glenohumeral arthritis, 66 with acromioclavicular arthropathy and 150 asymptomatic subjects. The test was considered positive when pain on the coracoid region was more severe than 3 points (VAS scale) with respect to the acromioclavicular joint and the anterolateral subacromial area. The test was positive in 96.4% of patients with adhesive capsulitis and in 11.1%, 14.5%, 6.2% and 10.6% of patients with the other four conditions, respectively. A positive result was obtained in 3/150 normal subjects (2%). With respect to the other four diseases, the test had a sensitivity of 0.96 and a specificity ranging from 0.87 to 0.89. With respect to controls, the sensitivity and specificity were 0.99 and 0.98, respectively. The coracoid pain test could be considered as a pathognomonic sign in physical examination of patients with stiff and painful shoulder. PMID 19418052 [PubMed - indexed for MEDLINE] PMCID PMC2899298 Free Full Text Free full text: Springer
Posted on: Sun, 14 Jul 2013 17:05:00 +0000
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