PDF(Pubmed)
Abstract：
OBJECTIVE: We aimed to develop and evaluate a new diagnostic method, the \'chicken-wing muscle up test\', to improve the accuracy of diagnosis of glenolabral articular disruption (GLAD) lesions compared to currently used clinical tests for injuries to the labrum.
METHODS: Preoperative evaluations were conducted on 85 patients undergoing arthroscopic surgery at a single center between July 2021 to July 2022. The diagnostic performance of the preoperative clinical examinations (chicken-wing muscle up test, O\'Brien test, crank test, and O\'Driscoll test) were validated against the findings of arthroscopic examinations.
RESULTS: 12 of the 85 patients in this study had arthroscopically confirmed GLAD lesions. The chicken-wing muscle up test demonstrated significantly higher sensitivity (83.33%) for GLAD lesions than the O\'Brien test (33.33%), but not the crank test (50.00%) or O\'Driscoll test (25.00%), and significantly higher specificity (95.89%) than the O\'Brien test (75.34%), crank test (82.19%), and O\'Driscoll test (71.23%). The chicken-wing muscle up test had the largest area under the receiver operating characteristic curve (AUC = 0.896, P < 0.001; O\'Driscoll test AUC = 0.543, P > 0.05; crank test AUC = 0.661, P > 0.05; O\'Brien test AUC = 0.481, P > 0.05), indicating significantly better diagnostic efficacy for GLAD lesions than the other three tests.
CONCLUSIONS: The chicken-wing muscle up test is a reliable diagnostic method that improves the accuracy of diagnosis of GLAD lesions.
METHODS: Preoperative evaluations were conducted on 85 patients undergoing arthroscopic surgery at a single center between July 2021 to July 2022. The diagnostic performance of the preoperative clinical examinations (chicken-wing muscle up test, O\'Brien test, crank test, and O\'Driscoll test) were validated against the findings of arthroscopic examinations.
RESULTS: 12 of the 85 patients in this study had arthroscopically confirmed GLAD lesions. The chicken-wing muscle up test demonstrated significantly higher sensitivity (83.33%) for GLAD lesions than the O\'Brien test (33.33%), but not the crank test (50.00%) or O\'Driscoll test (25.00%), and significantly higher specificity (95.89%) than the O\'Brien test (75.34%), crank test (82.19%), and O\'Driscoll test (71.23%). The chicken-wing muscle up test had the largest area under the receiver operating characteristic curve (AUC = 0.896, P < 0.001; O\'Driscoll test AUC = 0.543, P > 0.05; crank test AUC = 0.661, P > 0.05; O\'Brien test AUC = 0.481, P > 0.05), indicating significantly better diagnostic efficacy for GLAD lesions than the other three tests.
CONCLUSIONS: The chicken-wing muscle up test is a reliable diagnostic method that improves the accuracy of diagnosis of GLAD lesions.
摘要：
目的：我们旨在开发和评估一种新的诊断方法，“鸡翅肌肉上升测试”，与目前使用的唇唇损伤的临床测试相比，提高了唇唇关节破裂（GLAD）病变的诊断准确性。
方法：对2021年7月至2022年7月期间在一个中心接受关节镜手术的85例患者进行了术前评估。术前临床检查的诊断表现(鸡翅肌肉上升试验，O\'Brien测试,曲柄试验,和O\'Driscoll检验）根据关节镜检查的结果进行了验证。
结果：本研究的85例患者中有12例经关节镜检查证实为GLAD病变。鸡翅肌肉上升试验对GLAD病变的敏感性（83.33％）明显高于O\'Brien试验（33.33％），但不是曲柄试验(50.00%)或O\'Driscoll试验(25.00%),特异性（95.89%）明显高于O\'Brien检验（75.34%），曲柄试验（82.19%），和O\'Driscoll测试（71.23%）。鸡翅肌肉上升试验受试者工作特征曲线下面积最大(AUC=0.896,P<0.001;O'Driscoll试验AUC=0.543,P>0.05;曲柄试验AUC=0.661,P>0.05;O'Brien试验AUC=0.481,P>0.05),表明GLAD病变的诊断效能明显优于其他三种测试。
结论：鸡翅肌肉上升试验是一种可靠的诊断方法，可提高GLAD病变诊断的准确性。
方法：对2021年7月至2022年7月期间在一个中心接受关节镜手术的85例患者进行了术前评估。术前临床检查的诊断表现(鸡翅肌肉上升试验，O\'Brien测试,曲柄试验,和O\'Driscoll检验）根据关节镜检查的结果进行了验证。
结果：本研究的85例患者中有12例经关节镜检查证实为GLAD病变。鸡翅肌肉上升试验对GLAD病变的敏感性（83.33％）明显高于O\'Brien试验（33.33％），但不是曲柄试验(50.00%)或O\'Driscoll试验(25.00%),特异性（95.89%）明显高于O\'Brien检验（75.34%），曲柄试验（82.19%），和O\'Driscoll测试（71.23%）。鸡翅肌肉上升试验受试者工作特征曲线下面积最大(AUC=0.896,P<0.001;O'Driscoll试验AUC=0.543,P>0.05;曲柄试验AUC=0.661,P>0.05;O'Brien试验AUC=0.481,P>0.05),表明GLAD病变的诊断效能明显优于其他三种测试。
结论：鸡翅肌肉上升试验是一种可靠的诊断方法，可提高GLAD病变诊断的准确性。
