TEST DE PORCELLINI: UN NUEVO TEST PARA E

TEST DE PORCELLINI: UN NUEVO TEST PARA EL DIAGNÓSTICO PRECISO DE LOS DESGARRES DEL LABRUM POSTERIOR DEL HOMBRO: ANÁLISIS COMPARATIVO CON LAS PRUEBAS ESTABLECIDAS
http://www.perezartro.com.mx/academia/test-de-porcellini-un-nuevo-test-para-el-diagnostico-preciso-de-los-desgarres-del-labrum-posterior-del-hombro-analisis-comparativo-con-las-pruebas-establecidas/
The Porcellini test: a novel test for accurate diagnosis of posterior labral tears of the shoulder: comparative analysis with the established testsFuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/27591779
http://link.springer.com/article/10.1007%2Fs12306-016-0422-3
De:
Morey VM1,Singh H2,Paladini P3,Merolla G3,Phadke V4,
Porcellini G3
.
Musculoskelet Surg.2016 Sep 3. [Epub ahead of print]
Todos los derechos reservados para:© Istituto Ortopedico Rizzoli 2016
ResumenPREGUNTAS / propósitos:
A pesar de los desgarros del labrum posterior del hombro son conocidos por su incapacitante curso clínico, especialmente en los atletas de arriba, hay una prueba clínica se utiliza en forma aislada puede diagnosticar con precisión en el preoperatorio. Quisimos: (1) introducir “prueba Porcellini” con su verificación radiológica suministro de la base anatómica de su mecanismo; (2) determinar su exactitud; y (3) comparar su precisión con el de los otros ensayos establecidos para el diagnóstico de desgarres del labrum posterior del hombro.
CONCLUSIONES:
Proponemos “prueba Porcellini” como una prueba sencilla, precisa, reproducible y fiable para el diagnóstico preoperatorio de desgarros del labrum posterior del hombro.PALABRAS CLAVE:
Pruebas de diagnóstico; Posterior del hombro desgarro del labrum; exactitud de la prueba
Abstract
QUESTIONS/PURPOSES:
Although the posterior labral tears of the shoulder are known for their disabling clinical course, especially in overhead athletes, no clinical test used in isolation can diagnose it accurately in the preoperative period. We wanted to: (1) introduce “Porcellini test” with its radiological verification furnishing the anatomical basis of its mechanism; (2) determine its accuracy; and (3) compare its accuracy with that of the other established tests for diagnosing posterior labral tears of the shoulder.
METHODS:
To determine the anatomical basis, we initially performed radiological verification of our test. Then, we evaluated its accuracy in a retrospective case-controlled study on 310 consecutive patients who underwent shoulder arthroscopic procedures at our hospital between January 2013 and December 2013. All patients were examined preoperatively for Porcellini test, and the presence of posterior labral tear was confirmed on arthroscopy. Later, in a cohort study on 91 consecutive patients who underwent shoulder arthroscopic procedures, we compared its accuracy with O’Brien’s test, the Kim test, the Jerk test, and the Load and Shift test. The accuracy was interpreted in terms of sensitivity, specificity, and predictive values.
RESULTS:
The radiological verification conferred the anatomical basis for the mechanism of the Porcellini test. This new test showed high accuracy for posterior labral tears with sensitivity of 100 %, specificity of 99.3 %, the positive and negative predictive values of 92.6 and 100 %, respectively. Also, it had superior accuracy results than every other test. The interexaminer reliability for all test results was found to be >0.80.
CONCLUSIONS:
We propose “Porcellini test” as a simple, accurate, reproducible, and reliable test for the preoperative diagnosis of posterior labral tears of shoulder.
KEYWORDS:
Diagnostic tests; Posterior labral tear shoulder; Test accuracy
PMID:
27591779
DOI:
10.1007/s12306-016-0422-3
[PubMed – as supplied by publisher]
#porcellini #desgarre #labrum http://ow.ly/i/mOY1T

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