Pacheco Victor1*, Pisanti Carolina2, Valles Juan2 and Fernandez Pedro2
1Associated consultant Dr Sulaiman Al Habib Hospital, Al Khobar branch, Saudi Arabia
2Consultant FHOI, Caracas, Venezuela
*Corresponding Author: Pacheco Victor, Associated consultant Dr Sulaiman Al Habib Hospital, Al Khobar branch, Saudi Arabia.
Received: June 28, 2023; Published: July 18, 2023
The basis of adequate therapeutic exercise in medicine is based on the accurate diagnosis; to be able, with the clinical evaluation, to approximate as closely as possible to what happens in the organism. In the shoulder field, there is a great diversity of clinical tests for the physical examination of the shoulder, many of which were described more than 30 years ago, at a time when paraclinical diagnostic methods such as nuclear magnetic resonance, ultrasound joint, and arthroscopy had little development, resulting in poor quality images, and most of the procedures performed were open surgery. This research proposes a clinical-arthroscopic evaluation of patients with shoulder pain who attend the shoulder clinic of the Children's Orthopedic Hospital Foundation (FHOI) in the period November 2013-April 2014 through the Jobe, Patte, Hertel I, Yocum tests. The predictive value of these diagnostic tests with respect to injuries to the supra and infraspinatus tendons. The following is a descriptive and cross-sectional investigation, where the sample is represented by 54 patients admitted by arthroscopic route in the period November 2013 to April 2014 inclusive. The results are expressed in absolute and relative values. In the sample, the female sex predominated, and the patients older than 50 years of age. The most injured tendon was the supraspinatus, and the most frequent type of injury was complete rotator cuff injury. The tests that significantly exacerbated pain were those of Jobe and Yocum (p = 0.001). Jobe's test turned out to be quite non-specific for clinically diagnosing supraspinatus tears. The Patte and Hertel I tests demonstrated a 100% positive predictive value for identifying infraspinatus tendon injuries. In conclusion, the Jobe and Yocum tests have low specificity for clinically determining injuries to the supraspinatus tendon; while the Patte and Hertel I tests, despite their low sensitivity, their positivity predict significant damage to the infraspinatus tendon.
Keywords: Arthroscopy; Infraspinatus; Supraspinatus; Clinical Tests
Citation: Pacheco Victor., et al. “Predictive Value of the Jobe, Patte, Hertel I, and Yocum Tests in the Patients with Shoulder Pain”.Acta Scientific Orthopaedics 6.8 (2023): 51-54.
Copyright: © 2023 Pacheco Victor., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.