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

Overview

Journal Acta Ortop Bras

Date 2025 Feb 10

PMID 39927324

Authors

Helio Goncalves Ribeiro

Jose Rodrigo Da Silva Ferreira

Flavio Wildon Dantas

Rodrigo De Araujo Santa Ritta

Affiliations

Soon will be listed here.

Abstract

Objective: To correlate the findings of three clinical tests (Gerber test, Belly Press test, and Bear Hug test) with Magnetic Resonance Imaging (MRI) and arthroscopic findings of subscapular lesions.

Methods: Prospective cross-sectional study, from November 2023 to March 2024, with 50 patients with rotator cuff injury, evaluating sensitivity, specificity, and accuracy among clinical tests, MRI, and arthroscopic findings.

Results: 50 patients formed the sample, with 29 (58%) men and 21 (42%) women aged 42 to 86 years. We found a specificity of 88% and an accuracy of 54% in MRI. Regarding the Gerber test, the Belly Press test, and the Bear Hug test, the sensitivity was 64%, 64%, and 76%, with specificity of 75% for the Gerber and Belly Press tests and accuracy of 74% for the Bear Hug test.

Conclusion: We concluded that the Bear Hug test showed higher sensitivity and accuracy in detecting subscapular tendon lesions, with MRI being the most specific method.

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