ReviewOrthopaedic journal of sports medicine2021
Diagnostic Accuracy of Clinical Tests for Subscapularis Tears: A Systematic Review and Meta-analysis.
Review in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Unobvious diagnosis: subcoracoid impingement. Current knowledge about this condition.EFORT open reviews · 2026Article
- From Clinical Signs to Functional Recovery: A Practice-Oriented Review of Rotator Cuff Tear Management in Primary Care.Journal of clinical medicine · 2026Review
- Comparison of Clinical Examination, Ultrasonography, and Magnetic Resonance Imaging in the Diagnosis of Arthroscopically Confirmed Partial Subscapularis Tears.Orthopaedic journal of sports medicine · 2026Article
- Advances in Shoulder Pain Imaging: A Narrative Review of Current Practice and Emerging Trends.Current medical imaging · 2025Article
- Differences in the utilization of physical therapy for outpatients with non-specific shoulder pain labels and specific shoulder pain labels.BMC health services research · 2025Article
- Selective Activation of the Subscapularis Muscle: A Cross-Sectional Observational Study.Healthcare (Basel, Switzerland) · 2025Article
- Correlation between clinical, ultrasonographic and arthroscopic findings of subscapularis tears: A prospective study.Journal of orthopaedics · 2025Article
- Clinical outcomes of full arthroscopic combined latissimus dorsi and teres major transfers for irreparable subscapularis tears.Journal of experimental orthopaedics · 2025Article
- Clinical and Structural Results Following Arthroscopic and Open Repair of Isolated Subscapularis Tears.Journal of clinical medicine · 2024Article
- The Bear Hug Test Improves Sensitivity Compared With the Belly Press Test for Identifying Subscapularis Tendon Tears, but Both Tests Miss the Majority of Partial Tears.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- The effect of integrity of lesser tuberosity-medial calcar on postoperative outcome in the proximal humeral fracture.Journal of orthopaedic surgery and research · 2023Article
- Subscapularis tendon tear classification and diagnosis: A systemic review and meta-analysis.Frontiers in surgery · 2023Review
- [Anatomy and diagnostics of subscapularis tendon lesions].Unfallchirurgie (Heidelberg, Germany) · 2022Article
- Identifying key factors associated with subscapularis tendon tears and developing a risk prediction model to assist diagnosis.BMC musculoskeletal disorders · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious systematic reviews and meta-analyses on the diagnostic accuracy of shoulder clinical tests do not reach conclusions regarding subscapularis tears. PURPOSE: To compare the diagnostic accuracy of commonly used clinical tests for subscapularis tears. STUDY
designSystematic review; Level of evidence, 3.
methodsAn electronic literature search was conducted using Medline, Embase, and the Cochrane Library/Central. Eligibility criteria were original clinical studies reporting the diagnostic accuracy of clinical tests to diagnose the presence of rotator cuff tears involving the subscapularis.
resultsThe electronic literature search returned 2212 records, of which 13 articles were eligible. Among 8 tests included in the systematic review, the lift-off test was most frequently reported (12 studies). Four tests were eligible for meta-analysis: bear-hug test, belly-press test, internal rotation lag sign (IRLS), and lift-off test. The highest pooled sensitivity was 0.55 (95% CI, 0.28-0.79) for the bear-hug test, while the lowest pooled sensitivity was 0.32 (95% CI, 0.13-0.61), for the IRLS. In all tests, pooled specificity was >0.90.
conclusionAmong the 4 clinical tests eligible for meta-analysis (bear-hug test, belly-press test, IRLS, and lift-off test), all had pooled specificity >0.90 but pooled sensitivity <0.60. No single clinical test is sufficiently reliable to diagnose subscapularis tears. REGISTRATION: PROSPERO (CRD42019137019).
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