Clinics in shoulder and elbow · 2026
The limited diagnostic value of "feeling a pop" for identifying acute tendon rupture in workers' compensation shoulder claims.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ramtin Sina, Jayakumar Prakash, Ring David, Tonn Melissa
Аннотация
BACKGROUND: When an adult with rotator cuff tendinopathy reports feeling or hearing a pop along with new pain, both the clinician and the patient may inaccurately and unhelpfully expect (framing heuristic) an injury and consider it a compensable work claim.
METHODS: We retrospectively reviewed medical records of 118 people that filed work claims for new shoulder pain where aspects of their care or recovery trajectory triggered a peer review. We collected data on age, sex, reports of hearing or feeling a pop (25%; 29 of 118 patients), and reports of new numbness or tingling (11%; 13 of 118 patients). Five (4%) patients had a possible acute rotator cuff rupture (relatively large defect with good muscle) and 11 (9%) had a long head of biceps rupture, age indeterminate.
RESULTS: Accounting for confounding variables using logistic regression, possibly acute rotator cuff defects and age-indeterminate long head of biceps ruptures were associated with older age (odds ratio [OR], 1.10; 95% CI, 1.02-1.18) and the presence of a degenerative rotator cuff defect (OR, 6.0; 95% CI, 1.5-24) but not with sensation of a "pop."
CONCLUSIONS: Based on this evidence, among people claiming injury at work, when a "pop" is reported the clinician should not expect new pathophysiology. Level of evidence: III.
METHODS: We retrospectively reviewed medical records of 118 people that filed work claims for new shoulder pain where aspects of their care or recovery trajectory triggered a peer review. We collected data on age, sex, reports of hearing or feeling a pop (25%; 29 of 118 patients), and reports of new numbness or tingling (11%; 13 of 118 patients). Five (4%) patients had a possible acute rotator cuff rupture (relatively large defect with good muscle) and 11 (9%) had a long head of biceps rupture, age indeterminate.
RESULTS: Accounting for confounding variables using logistic regression, possibly acute rotator cuff defects and age-indeterminate long head of biceps ruptures were associated with older age (odds ratio [OR], 1.10; 95% CI, 1.02-1.18) and the presence of a degenerative rotator cuff defect (OR, 6.0; 95% CI, 1.5-24) but not with sensation of a "pop."
CONCLUSIONS: Based on this evidence, among people claiming injury at work, when a "pop" is reported the clinician should not expect new pathophysiology. Level of evidence: III.