Evidence map›Paper›PMID 29188312›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2018

Physical therapists as first-line diagnosticians for traumatic acute rotator cuff tears: a prospective study.

Knut E Aagaard, Jonas Hänninen, Fikri M Abu-Zidan, Karl Lunsjö

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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5citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Return to work after early repair of acute traumatic rotator cuff tears.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
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5 · Who and what money

Authors and funding

4 authors.

Knut E AagaardDepartment of Orthopedics, Skånevård Sund, Region Skåne, Sweden.
Jonas HänninenDepartment of Orthopedics, Skånevård Sund, Region Skåne, Sweden.
Fikri M Abu-ZidanTrauma Group, College of Medicine and Health Sciences, UAE University, Al-Ain, UAE. fabuzidan@uaeu.ac.ae.
Karl LunsjöDepartment of Orthopedics, Skånevård Sund, Region Skåne, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly diagnosis of traumatic acute full-thickness rotator cuff tears (FTRCT) is important to offer early surgical repair. Late repairs following fatty infiltration of the rotator cuff muscles have less favorable results. We think that physical therapists are valuable diagnosticians in a screening process. The objective of this study was to evaluate the usefulness of physical therapists as first-line diagnosticians in detecting acute traumatic FTRCT.

methodsBetween November 2010 and January 2014, 394 consecutive patients having an age between 18 and 75 years who sought medical care because of acute shoulder trauma with acute onset of pain, limited abduction and negative plain radiographs were included in the study. A clinical assessment was conducted by a physical therapist 1 week after the trauma. The patients were divided into three groups by the physical therapist according to the findings: FTRCT (Group I, n = 122); sprain (Group II, n = 62); or other specific diagnoses (Group III, n = 210). Group III patients were discharged and excluded from the study. Magnetic Resonance Imaging shoulder was performed for all Group I patients and for all patients with persistent symptoms in Group II.

results79/184 patients had FTRCTs documented by MRI in groups I and II. The clinical assessment of the physical therapist had a sensitivity of 85%, specificity of 68%, and usefulness index of 0.45 (> 0.35 considered useful) for diagnosing FTRCT.

conclusionPhysical therapists can be useful as first-line diagnosticians in detecting traumatic FTRCT.

Indexed as

Physical TherapistsAdolescentAdultAgedDiagnosis, DifferentialEarly DiagnosisFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRotator Cuff InjuriesSensitivity and SpecificityPhysical examinationPhysical therapistRotator cuff tearShoulder injuryUsefulness index

Identifiers

PMID29188312

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.