HOW CAN WE KNOW IF OUR PATIENT HAS A SLAP LESION? THE PASSIVE DISTRACTION TEST IN COMBINATION WITH THE ACTIVE COMPRESSION TEST OF O'BRIEN
There are a lot of tests for SLAP lesions, but it seems that Schlechter et al. (2009) have found a combination of 2 tests that can rule in/confirm, as well as rule out the disease.
These 2 tests are the PASSIVE DISTRACTION TEST (PDT) as well as the ACTIVE COMPRESSION TEST OF O'BRIEN (ACT) that we've shown you yesterday as a test for the AC joint as well.
In isolation he found a sensitivity of 53% and a specificity of 94% for the PDT and a sensitivity of 59% and a specificity of 92% for the ACT.
In combination, they yielded a 70%(Sn)/90%(Sp), which results in a LR+ of 7.0 for 2 positive tests and a LR- of 0.11 in case of two negative tests.
As a conclusion, the combination of those two tests are useful to include/confirm and even better to rule out/exclude a SLAP lesion.
Schlechter et al. (2009): www.ncbi.nlm.nih.gov/pubmed/19962062
Queenstown acupuncturist Hayato, from Queenstown Health, visits The Zenkuro Kura with mates Danielle and Kasa from Rata. Hayato helps keep Dave's body working well through the cold winter brewing season!
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Words destroyed by the current turkish govt in Gallipoli- words that cannot be destroyed of their great leader ataturk - "Those heroes that shed their blood and lost their lives... You are now lying in the soil of a friendly country. Therefore rest in peace. There is no difference between the Johnnies and the Mehmets to us where they lie side by side here in this country of ours," it read.
"You, the mothers who sent their sons from faraway countries, wipe away your tears; your sons are now lying in our bosom and are in peace. After having lost their lives on this land they have become our sons as well." ... See MoreSee Less