Klinik Subakromial Sıkışma Testi Pozitif Hastaların Ultrasonografik Subakromial Sıkışma Testi ile Değerlendirilmesi

Year 2024, Volume: 6 Issue: 3, 289 - 296, 14.10.2024

Yasemin Tombak , Özgür Zeliha Karaahmet

https://doi.org/10.52827/hititmedj.1402370

Abstract

Amaç: Subakromial sıkışma sendromunda kullanılan özel klinik testlerin tanıdaki başarısının bilinmesi hasta değerlendirmesinde, ileri tetkik gerekip gerekmemesi ve tedavi düzenlenmesi açısından önemlidir. Bu gözle, subakromial sıkışma sendromu tanılı hastalarda sonografik olarak sıkışma varlığını referans alarak klinik muayene testlerinin tanısal performansını belirlemek amaçlandı.
Gereç ve yöntemler: Çalışmaya Fizik Tedavi ve Rehabilitasyon polikliniğine şikâyeti omuz ağrısı olan ve muayenede en az 1 subakromial sıkışma testi pozitif olan (Neer, Hawkins veya Yocum testinden en az biri) 42 hasta dahil edildi.
Omuza abdüksiyon yaptırarak korakoakromial alanda supraspinatus tendonuna ait dinamik sonografik sıkışma bulgusu değerlendirildi. Klinik muayene testleri ile dinamik sonografik sıkışma bulgusu karşılaştırıldı.
Bulgular: Hastaların % 40,5’inde ultrasonografik olarak sıkışma testi pozitif idi. Hawkins testi %81 hastada, Neer testi %69 hastada, Yocum testi %78,6 hastada pozitif idi. Ultrasonografik olarak değerlendirilen subakromial sıkışma testi ile Neer testi arasında anlamlı ilişki saptandı, diğer özel testler (Hawkins ve Yocum testi) ile anlamlı ilişki saptanmadı (p=0,02, p=0,4, p=0,12 sırasıyla).
Sonuç: Ultrasonografik dinamik subakromial sıkışma bulgusunun, non-invaziv ve cihaz bağımsız yapılabilen fizik muayene testlerinden Neer testi ile anlamlı ilişkisini göstermiş olduk.

Keywords

Dinamik sonografik sıkışma, Hawkins testi, Neer testi, omuz ağrısı, subakromial sıkışma sendromu, Yocum testi

Evaluation of Clinical Subacromial Impingement Test Positive Patients with Ultrasonographic Subacromial Impingement Test

Abstract

Objective: Knowing which of the special clinical tests used in subacromial impingement syndrome is more successful in making the diagnosis is important for patient evaluation, determining if further examination is necessary, and arranging treatment. Utilizing sonographic impingement as a reference diagnostic technique, the study sought to evaluate how well clinical test results performed in diagnosing patients with subacromial impingement syndrome.
Material and method: The study involved 42 patients with shoulder pain and at least one positive subacromial impingement test, including Neer, Hawkins, or Yocum tests. Dynamic sonographic compression of the tendon in the coracoacromial area was examined by abducting the shoulder. Dynamic sonographic compression findings were compared with clinical examination tests.
Results: In 40.5% of the patients, the ultrasonographic impingement test was positive. Hawkins test was positive in 81% of patients, Neer test was positive in 69% of patients, and Yocum test was positive in 78.6% of patients. A significant relationship was found between the ultrasonographically evaluated subacromial impingement test and the Neer test, but no significant relationship was found with other special tests (Hawkins and Yocum test) (p = 0.02, p = 0.4, p = 0.12, respectively).
Conclusion: We have demonstrated a significant relationship between the ultrasonographic finding of dynamic subacromial impingement and the Neer test, which is a non-invasive and device-independent physical examination test.

Keywords

Dynamic sonographic impingement, Hawkins test, Neer test, shoulder pain, subacromial impingement syndrome, Yocum test

Ethical Statement

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. The authors declare no conflict of interest.

Supporting Institution

None

Thanks

The Authors thank Osman Ertan (MD, at Physical Medicine and Rehabilitation, Ankara Etlik City Hospital, Ankara, Turkey) for participation in illustrations of the application of the tests subject of this article.

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