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KMID : 0384320070280010051
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Korean Journal of Family Medicine
2007 Volume.28 No. 1 p.51 ~ p.57
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Validity of Cyriax’s Test in Young Male with Shoulder Pain Compared to Ultrasonographic Findings
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Kim Se-Hong
Chung Ju-Hye
Choi Whan-Seok
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Abstract
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Background: This study was designed to evaluate the validity of the Cyriax’s selective tension examination as a diagnostic tool in young male with shoulder pain compared to ultrasonographic findings.
Methods: Twenty young male patients with 26 shoulder pain cases were prospectively included in this study. All had a physical examination performed by Cyriax’s selective tension method. As a diagnostic gold standard, ultrasonographic examination was carried out within one week of the physical examination by two specialists.
Results: The most common findings by sonographic evaluation were sub-deltoid bursitis (65.4%). Sub-deltoid bursal effusion without rotator cuff injury were 10 cases (58.8%) and 17 cases (41.2%) showed combined rotator cuff lesion. The most common diagnoses by physical examination were sub-deltoid bursitis (46.2%) followed by supraspinatus tendon lesion (19.2%). Clinical assessment by physical examination showed low sensitivity in the diagnosis of rotator cuff lesion (42.9%) and sub-deltoid bursitis (70.6%) but high sensitivity and specificity in the diagnosis of shoulder joint instability (sensitivity 100%, specificity 91.7%).
Conclusion: This study suggest that the validity of Cyriax’s selective tension test for the diagnosis of shoulder pain are questionable. (J Korean Acad Fam Med 2007; 28:51-57)
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KEYWORD
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shoulder, Cyriax, selective tension, ultrasonography
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