Archives of physical medicine and rehabilitation · 2026
Evaluation of Clinical and Ultrasound-Based Diagnosis of the Long Head of the Biceps Pathologies-A Prospective Study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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.
Green Benjamin, Roy Vincent, Boulila Cyril, Côté Samuel, Dupuis Frédérique, Bélanger Valérie, Lacroix Rémi, Pelet Stéphane, Villemaire-Côté Emanuelle, Roger Marie-Ève, Lesieur Martin, Lambert Sébastien, Roy Jean-Sébastien
Аннотация
OBJECTIVE: To validate the diagnostic properties of orthopedic tests and qualitative and quantitative high-resolution ultrasound-based (HRUS) assessments in the diagnosis of long head of the biceps tendon (LHBT) pathologies.
DESIGN: Single blind prospective study evaluating orthopedic tests and HRUS diagnostic performances compared with surgery.
SETTING: Hospital orthopedic department.
PARTICIPANTS: Seventy-one adults scheduled for open or arthroscopic shoulder surgery were included within 6 weeks of their scheduled surgery.
INTERVENTION: Participants underwent a preoperative clinical examination, including Speed's, O'Brien's, Uppercut, and Yergason's tests, and palpation of the bicipital groove, as well as both qualitative and quantitative HRUS evaluation of the LHBT. Afterward, the LHBT was evaluated during surgery to confirm the diagnosis, with the surgeon blinded from the clinical and HRUS examination.
MAIN OUTCOME MEASURES: Diagnostic properties were determined for (1) each individual orthopedic test and combinations of tests, (2) qualitative HRUS data alone and in combination with orthopedic tests, and (3) quantitative HRUS data. A receiver operating characteristic curve was used to assess the ability of quantitative HRUS to discriminate the presence of LHBT tendinopathy.
RESULTS: The overall diagnostic performance of the orthopedic special tests was low. Qualitative HRUS exhibited promising diagnostic properties for identifying full-thickness tears (sensitivity 63%, specificity 86%) and LHBT dislocation/subluxation (sensitivity 38%, specificity 81%). However, combining qualitative HRUS with orthopedic tests and participant age yielded the best properties (ie, improvement in sensitivity and specificity across all LHBT diagnoses). The diagnostic performance of quantitative HRUS varied depending on the cut-off values used; the best results observed using a maximal surface area greater than 21 mm2 (sensitivity 55%, specificity 86%).
CONCLUSION: Qualitative HRUS shows promising diagnostic potential but should be used in conjunction with orthopedic tests. Further research is needed to validate these preliminary results and refine the pathological cut-offs values of quantitative HRUS assessments.
DESIGN: Single blind prospective study evaluating orthopedic tests and HRUS diagnostic performances compared with surgery.
SETTING: Hospital orthopedic department.
PARTICIPANTS: Seventy-one adults scheduled for open or arthroscopic shoulder surgery were included within 6 weeks of their scheduled surgery.
INTERVENTION: Participants underwent a preoperative clinical examination, including Speed's, O'Brien's, Uppercut, and Yergason's tests, and palpation of the bicipital groove, as well as both qualitative and quantitative HRUS evaluation of the LHBT. Afterward, the LHBT was evaluated during surgery to confirm the diagnosis, with the surgeon blinded from the clinical and HRUS examination.
MAIN OUTCOME MEASURES: Diagnostic properties were determined for (1) each individual orthopedic test and combinations of tests, (2) qualitative HRUS data alone and in combination with orthopedic tests, and (3) quantitative HRUS data. A receiver operating characteristic curve was used to assess the ability of quantitative HRUS to discriminate the presence of LHBT tendinopathy.
RESULTS: The overall diagnostic performance of the orthopedic special tests was low. Qualitative HRUS exhibited promising diagnostic properties for identifying full-thickness tears (sensitivity 63%, specificity 86%) and LHBT dislocation/subluxation (sensitivity 38%, specificity 81%). However, combining qualitative HRUS with orthopedic tests and participant age yielded the best properties (ie, improvement in sensitivity and specificity across all LHBT diagnoses). The diagnostic performance of quantitative HRUS varied depending on the cut-off values used; the best results observed using a maximal surface area greater than 21 mm2 (sensitivity 55%, specificity 86%).
CONCLUSION: Qualitative HRUS shows promising diagnostic potential but should be used in conjunction with orthopedic tests. Further research is needed to validate these preliminary results and refine the pathological cut-offs values of quantitative HRUS assessments.