The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test

Aydın, Pelin; KALALI, Fatih; Aydın, Ali; kose, mehmet; TOPAL, Murat; Yıldız, Vahit

The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test

Vahit YILDIZ, (Sağlık Bakanlığı, Yenişehir Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Kahramanmaraş, Türkiye)

Ali AYDIN, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Fatih KALALI, (Kağızman Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Kars, Türkiye)

Murat TOPAL, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Mehmet KÖSE, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Pelin AYDIN (Erzurum Bölge Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Erzurum, Türkiye)

Eurasian Journal of Medicine

2 0

Yıl: 2012 Cilt: 44 Sayı: 3 Sayfa Aralığı: 0 - 0 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test

Öz:

Amaç: Çalışmamızda kronik impingement sendromlu hastalar da SLAP lezyonu görülme sıklığını ve O’Brien testinin duyarlılığını araştırmayı amaçladık. Gereç ve Yöntem: Artoskopik subakromiyal dekompresyon planlanan, kronik impingement sendromu ön tanısı olan 48 hastayı çalışmamıza aldık. Hastaları omuz artroskopisi öncesi Neer, Hawkinsve O’Brien testleri ile değerlendirdik. Daha sonra omuz artroskopisi yaparak, hastaları kronik impingement sendromu, internal impingement sendromu ve SLAP lezyonları açısından değerlendirdik. Bu testlerin duyarlılıklarını istatiksel olarak karşılaştırdık. Bulgular: Yaş ortalaması 45.8 yıl (dağılım 35-69 yıl) olan, omuz artroskopisi öncesi 46 (%95.8) hastada Neer ve Hawkins testleri, 34 (%70.8) hastada O’Brien testi pozitifti. Omuz artroskopisinde 48 hastanın 44’ünde (%91.7) subakromiyal impingement, 32’sinde (%66.7) SLAP lezyonu ve internal impingement görüldü. Kronik impingement sendromunda; Neer ve Hawkins testleri %95.6 oranında duyarlı iken, İnternal impingement sendromu ve slap lezyonlarında O’Brien testi %94.1 oranında duyarlı idi ve testler arasında istatiksel olarak fark görülmedi (p>0.05). Sonuç: Kronik impingement sendromlu hastalarda %72.72 oranındaSLAP ve internal impingement lezyonu görülmekte, tanıda Neer ve Hawkins testleri ile beraber O’Brien testinin de yapılmasının gerektiğini düşünmekteyiz.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Kronik impingement sendromu ile birlikte SLAP lezyonunun görülme sıklığı ve O’Brien testinin duyarlılığı

Öz:

Objective: In this study, we aimed to investigate the prevalence ofSLAP lesions in patients with chronic impingement syndrome. Wealso examined the sensitivity of O’Brien’s test.Materials and Methods: The study included 48 patients with apreliminary chronic impingement syndrome diagnosis to whomarthroscopic decompression had been planned. All patients under-went preoperative Neer’s, Hawkins’ and O’Brien’s tests. We performedshoulder arthroscopy on all patients and evaluated chronic impingement syndrome and SLAP lesions. Then, we compared the statisticalsensitivities of these tests.Results: The mean age of patients with chronic impingement was 45.8 years (range, 35-69 years). O’brien’s test was positive in 34 (70.8%) of the patients, and Neer’s test and Hawkins’ test were positive in 46 (95.8%) of the patients before shoulder arthroscopy. Shoulder ar- throscopy revealed that 44 (91.7%) of 48 patients had subacromial impingement; 32 (66.7%) had SLAP lesions and internal impingement. In chronic impingement syndrome, sensitivity rates were 95.6% for Neer’s test and Hawkins’ test, whereas in internal impingement syndrome and slap lesions, the sensitivity of O’brien’s test was 94.1%. There was no statistical difference between the tests (p>0.05). Conclusion: 72.72% of the patients with chronic impingement syndrome had concomitant SLAP lesions. We suggest that O’Brien’s testshould be used with Neer’s and Hawkins’ tests for diagnosis of thiscondition.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Yıldız V, Aydın A, KALALI F, TOPAL M, kose m, Aydın P (2012). The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. , 0 - 0.
Chicago	Yıldız Vahit,Aydın Ali,KALALI Fatih,TOPAL Murat,kose mehmet,Aydın Pelin The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. (2012): 0 - 0.
MLA	Yıldız Vahit,Aydın Ali,KALALI Fatih,TOPAL Murat,kose mehmet,Aydın Pelin The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. , 2012, ss.0 - 0.
AMA	Yıldız V,Aydın A,KALALI F,TOPAL M,kose m,Aydın P The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. . 2012; 0 - 0.
Vancouver	Yıldız V,Aydın A,KALALI F,TOPAL M,kose m,Aydın P The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. . 2012; 0 - 0.
IEEE	Yıldız V,Aydın A,KALALI F,TOPAL M,kose m,Aydın P "The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test." , ss.0 - 0, 2012.
ISNAD	Yıldız, Vahit vd. "The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test". (2012), 0-0.

APA	Yıldız V, Aydın A, KALALI F, TOPAL M, kose m, Aydın P (2012). The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. Eurasian Journal of Medicine, 44(3), 0 - 0.
Chicago	Yıldız Vahit,Aydın Ali,KALALI Fatih,TOPAL Murat,kose mehmet,Aydın Pelin The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. Eurasian Journal of Medicine 44, no.3 (2012): 0 - 0.
MLA	Yıldız Vahit,Aydın Ali,KALALI Fatih,TOPAL Murat,kose mehmet,Aydın Pelin The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. Eurasian Journal of Medicine, vol.44, no.3, 2012, ss.0 - 0.
AMA	Yıldız V,Aydın A,KALALI F,TOPAL M,kose m,Aydın P The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. Eurasian Journal of Medicine. 2012; 44(3): 0 - 0.
Vancouver	Yıldız V,Aydın A,KALALI F,TOPAL M,kose m,Aydın P The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test. Eurasian Journal of Medicine. 2012; 44(3): 0 - 0.
IEEE	Yıldız V,Aydın A,KALALI F,TOPAL M,kose m,Aydın P "The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test." Eurasian Journal of Medicine, 44, ss.0 - 0, 2012.
ISNAD	Yıldız, Vahit vd. "The prevalence of chronic impingement syndrome and SLAP lesion and the sensitivity of O’Brien’s test". Eurasian Journal of Medicine 44/3 (2012), 0-0.