Research on Optimization of Rotator Cuff Injury Diagnosis Plan
- Conditions
- Rotator Cuff Injury
- Interventions
- Behavioral: several physical examinations
- Registration Number
- NCT04973995
- Lead Sponsor
- Peking University Third Hospital
- Brief Summary
Rotator cuff injury is a common cause of shoulder pain and dysfunction. Finding out patients with suspected rotator cuff injuries through physical examination of the shoulder joints, MRI further assists in the diagnosis, and final surgical diagnosis and treatment are the current standardized procedures.
How to apply multiple physical examination programs to make judgments sensitively, efficiently and accurately is a clinical problem that needs to be solved urgently.
- Detailed Description
Rotator cuff injury is a common cause of shoulder pain and dysfunction. The common symptoms of rotator cuff injury include shoulder pain, weakness, and limited mobility. Arthroscopic exploration is the gold standard for the diagnosis of rotator cuff injury, but it is an invasive examination that is difficult to carry out routinely; MRI is sensitive in diagnosing rotator cuff tears Both sex and specificity are high, but due to the popularity, cost and waiting time, it is difficult to be used as a routine screening method.
Therefore, finding patients with suspected rotator cuff injuries through physical examination of the shoulder joints, MRI further assisting in the diagnosis, and final surgical diagnosis and treatment are the current standardized procedures.
However, although there are many physical examination methods for the shoulder joint, the accuracy of each method is different, and each has its own sensitivity and specificity. How to apply multiple examination programs in combination to make it sensitive, efficient and accurate Judgment is a problem that needs to be solved clinically.
This study is expected to adopt prospective research methods to collect and collect patient medical records, preoperative physical examination results, imaging data, and findings during intraoperative exploration, to understand the impact of various shoulder joint physical examination methods and imaging data on rotator cuff injuries
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 200
- Patients who are prepared to undergo arthroscopic surgery for shoulder injuries
- Shoulder stiffness, shoulder instability, calcified tendinitis, past surgery, side-to-shoulder disease, hamada osteoarthritis, frozen shoulder, acute joint injury, rheumatoid arthritis, hyperuricemia
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Patients with shoulder pain who received External rotation resistence strength test several physical examinations - Patients with shoulder pain who received speed test several physical examinations - Patients with shoulder pain who received Yergason test several physical examinations - Patients with shoulder pain who received ER lag sign several physical examinations - Patients with shoulder pain who received Patte's test several physical examinations - Patients with shoulder pain who received Cui's test several physical examinations - Patients with shoulder pain who received Errsair test several physical examinations - Patients with shoulder pain who received backward traction test several physical examinations -
- Primary Outcome Measures
Name Time Method the Accuracy of different physical examinations 1week After apply these physical examinations, by using Arthroscopic examination find the accuracy of these physical examinations
- Secondary Outcome Measures
Name Time Method