Correlation of findings in clinical and high resolution ultrasonography examinations of the painful shoulder

Micheroli, Raphael and Kyburz, Diego and Ciurea, Adrian and Dubs, Beat and Toniolo, Martin and Bisig, Samuel Pascal and Tamborrini, Giorgio. (2015) Correlation of findings in clinical and high resolution ultrasonography examinations of the painful shoulder. Journal of Ultrasonography, 15 (60). pp. 29-44.

Full text not available from this repository.

Official URL: https://edoc.unibas.ch/62298/

Downloads: Statistics Overview


OBJECTIVE: High resolution ultrasonography is a non-painful and non-invasive imaging technique which is useful for the assessment of shoulder pain causes, as clinical examination often does not allow an exact diagnosis. The aim of this study was to compare the findings of clinical examination and high resolution ultrasonography in patients presenting with painful shoulder. METHODS: Non-interventional observational study of 100 adult patients suffering from unilateral shoulder pain. Exclusion criteria were shoulder fractures, prior shoulder joint surgery and shoulder injections in the past month. The physicians performing the most common clinical shoulder examinations were blinded to the results of the high resolution ultrasonography and vice versa. RESULTS: In order to detect pathology of the m. supraspinatus tendon, the Hawkins and Kennedy impingement test showed the highest sensitivity (0.86) whereas the Jobe supraspinatus test showed the highest specificity (0.55). To identify m. subscapularis tendon pathology the Gerber lift off test showed a sensitivity of 1, whereas the belly press test showed the higher specificity (0.72). The infraspinatus test showed a high sensitivity (0.90) and specificity (0.74). All AC tests (painful arc II(a), AC joint tenderness(b), cross body adduction stress test(c)) showed high specificities ((a)0.96, (b)0.99, (c)0.96). Evaluating the long biceps tendon, the palm up test showed the highest sensitivity (0.47) and the Yergason test the highest specificity (0.88). CONCLUSION: Knowledge of sensitivity and specificity of various clinical tests is important for the interpretation of clinical examination test results. High resolution ultrasonography is needed in most cases to establish a clear diagnosis.
Faculties and Departments:03 Faculty of Medicine > Departement Biomedizin > Department of Biomedicine, University Hospital Basel > Rheumatology (Kyburz)
UniBasel Contributors:Kyburz, Diego
Item Type:Article, refereed
Article Subtype:Research Article
ISSN:2084-8404 (Print) 2084-8404 (Linking)
Note:Publication type according to Uni Basel Research Database: Journal article
Related URLs:
Identification Number:
Last Modified:17 Nov 2018 14:12
Deposited On:17 Nov 2018 14:12

Repository Staff Only: item control page