CLINICAL DIAGNOSIS OF SUBSCAPULARIS TENDON TEAR USING THE BEAR HUG SEMIOLOGICAL MANEUVER

Overview

Journal Rev Bras Ortop

Specialty Orthopedics

Date 2016 Apr 6

PMID 27047870

Citations 5

Authors

Marcio Schiefer

Yonder Archanjo Ching-San Junior

Sergio Mauricio Silva

Cesar Fontenelle

Marcos Genuncio Dias Carvalho

Fabio Garcia de Faria

Jose Sergio Franco

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the Bear Hug maneuver for clinically diagnosing subscapularis tendon tears, and compare this with other maneuvers described previously (Lift-off, Napoleon and Belly Press).

Methods: Forty-nine patients with rotator cuff injuries who had undergone arthroscopy to repair the injury and had previously been assessed using the semiological maneuvers mentioned above were evaluated.

Results: The diagnostic values obtained for the Bear Hug test were as follows: sensitivity 75%, specificity 56%, positive predictive value 62%, negative predictive value 70% and accuracy 65%.

Conclusion: The highest sensitivity and negative predictive value values were obtained with the Bear Hug test. The highest specificity value was seen with the Lift-off test. The Belly press test gave the greatest specificity, positive predictive and accuracy values.

Citing Articles

SUBSCAPULAR INJURY: PROSPECTIVE COMPARISON OF PHYSICAL EXAMINATION, MRI AND ARTHROSCOPY.

Ribeiro H, Ferreira J, Dantas F, Ritta R Acta Ortop Bras. 2025; 33(1):e285935.

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Rotator cuff tears.

Bedi A, Bishop J, Keener J, Lansdown D, Levy O, Macdonald P Nat Rev Dis Primers. 2024; 10(1):8.

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Less than 9.5-mm coracohumeral distance on axial magnetic resonance imaging scans predicts for subscapularis tear.

Reichel T, Herz S, Tabbakh M, Bley T, Plumhoff P, Rueckl K JSES Int. 2021; 5(3):424-429.

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