Anauate Nicolao F, Yazigi Junior JA, Matsunaga FT, Archetti Netto N, Belloti JC, Tamaoki MJS. Comparing shoulder maneuvers to magnetic resonance imaging and arthroscopic findings in patients with supraspinatus tears. World J Orthop 2022; 13(1): 102-111 [PMID: 35096540 DOI: 10.5312/wjo.v13.i1.102]
Corresponding Author of This Article
Joao Alberto Yazigi Junior, PhD, Doctor, Orthopedics and Traumatology Department, Escola Paulista de Medicina – Universidade Federal de São Paulo – UNIFESP, 778 Borges Lagoa Road, Sao Paulo 04038-001, Brazil. junioryazigi73@yahoo.com.br
Research Domain of This Article
Orthopedics
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Jan 18, 2022; 13(1): 102-111 Published online Jan 18, 2022. doi: 10.5312/wjo.v13.i1.102
Comparing shoulder maneuvers to magnetic resonance imaging and arthroscopic findings in patients with supraspinatus tears
Fabio Anauate Nicolao, Joao Alberto Yazigi Junior, Fabio Teruo Matsunaga, Nicola Archetti Netto, Joao Carlos Belloti, Marcel Jun Sugawara Tamaoki
Fabio Anauate Nicolao, Joao Alberto Yazigi Junior, Fabio Teruo Matsunaga, Nicola Archetti Netto, Joao Carlos Belloti, Marcel Jun Sugawara Tamaoki, Orthopedics and Traumatology Department, Escola Paulista de Medicina – Universidade Federal de São Paulo – UNIFESP, Sao Paulo 04038-001, Brazil
Fabio Anauate Nicolao, Joao Alberto Yazigi Junior, Orthopedics and Traumatology Discipline, Universidade de Santo Amaro – UNISA, Sao Paulo 04829-300, Brazil
Author contributions: Anauate Nicolao F assisted with data analysis; Anauate Nicolao F, Yazigi Junior JA, Archetti Netto N, and Tamaoki MJS were involved in data collection; Yazigi Junior JA drafted the manuscript; Anauate Nicolao F, Matsunaga FT, Belloti JC participated in the design of the study; Tamaoki MJS, masterminded the study and performed the final review.
Institutional review board statement: The study was approved by institutional review board of the Universidade Federal de São Paulo – UNIFESP under registration number 1662/2016.
Clinical trial registration statement: This study is registered at https://doi.org/10.1186/ISRCTN13083925. The registration identification number is ISRCTN13083925.
Informed consent statement: All study participants, or their legal guardian, provided written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare any conflicting interests related to this study.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at junioryazigi73@yahoo.com.br.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Joao Alberto Yazigi Junior, PhD, Doctor, Orthopedics and Traumatology Department, Escola Paulista de Medicina – Universidade Federal de São Paulo – UNIFESP, 778 Borges Lagoa Road, Sao Paulo 04038-001, Brazil. junioryazigi73@yahoo.com.br
Received: March 11, 2021 Peer-review started: March 11, 2021 First decision: July 28, 2021 Revised: August 9, 2021 Accepted: December 21, 2021 Article in press: December 21, 2021 Published online: January 18, 2022 Processing time: 311 Days and 11.8 Hours
ARTICLE HIGHLIGHTS
Research background
Shoulder maneuvers and magnetic resonance imaging (MRI) are performed in current practice in patients with rotator cuff tears (RCTs); however, there is insufficient evidence as to which clinical test is efficient for diagnosing supraspinatus tears.
Research motivation
The motivation for this study was the exponential increase in MRI requests and little appreciation of physical examination in patients with RCTs.
Research objectives
The objective of this study was to compare the accuracy of clinical tests with MRI for diagnosing supraspinatus tears.
Research methods
A prospective multicenter accuracy study of seven shoulder maneuvers and MRI for supraspinatus tears in patients undergoing arthroscopy was performed.
Research results
MRI and the drop arm test had the highest specificity (0.99 and 0.97, respectively) for overall supraspinatus tears; the Hawkin’s test had the highest rate of false-positive findings (0.36) in patients with intact tendons.
Research conclusions
Shoulder maneuvers had good diagnostic value for supraspinatus tears; however, MRI had the highest diagnostic value for ruling out tears.
Research perspectives
Futures studies are necessary to analyze the accuracy of clinical tests and MRI for infraspinatus and subscapularis tears.
