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

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 imp...

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Main Authors: Yasemin Tombak, Özgür Zeliha Karaahmet
Format: Article
Language:English
Published: Hitit University 2024-10-01
Series:Hitit Medical Journal
Online Access:https://dergipark.org.tr/tr/doi/10.52827/hititmedj.1402370
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author Yasemin Tombak
Özgür Zeliha Karaahmet
author_facet Yasemin Tombak
Özgür Zeliha Karaahmet
author_sort Yasemin Tombak
collection DOAJ
description 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.
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spelling doaj-art-bf93f67a411e4d5990d5dab6a70029032025-01-12T07:11:01ZengHitit UniversityHitit Medical Journal2687-47172024-10-016328929610.52827/hititmedj.1402370 Evaluation of Clinical Subacromial Impingement Test Positive Patients with Ultrasonographic Subacromial Impingement Test Yasemin Tombak0https://orcid.org/0000-0003-0065-5376Özgür Zeliha Karaahmet1https://orcid.org/0000-0002-1338-8935ANKARA ETLİK ŞEHİR HASTANESİANKARA ETLİK ŞEHİR HASTANESİ 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.https://dergipark.org.tr/tr/doi/10.52827/hititmedj.1402370
spellingShingle Yasemin Tombak
Özgür Zeliha Karaahmet
Evaluation of Clinical Subacromial Impingement Test Positive Patients with Ultrasonographic Subacromial Impingement Test
Hitit Medical Journal
title Evaluation of Clinical Subacromial Impingement Test Positive Patients with Ultrasonographic Subacromial Impingement Test
title_full Evaluation of Clinical Subacromial Impingement Test Positive Patients with Ultrasonographic Subacromial Impingement Test
title_fullStr Evaluation of Clinical Subacromial Impingement Test Positive Patients with Ultrasonographic Subacromial Impingement Test
title_full_unstemmed Evaluation of Clinical Subacromial Impingement Test Positive Patients with Ultrasonographic Subacromial Impingement Test
title_short Evaluation of Clinical Subacromial Impingement Test Positive Patients with Ultrasonographic Subacromial Impingement Test
title_sort evaluation of clinical subacromial impingement test positive patients with ultrasonographic subacromial impingement test
url https://dergipark.org.tr/tr/doi/10.52827/hititmedj.1402370
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AT ozgurzelihakaraahmet evaluationofclinicalsubacromialimpingementtestpositivepatientswithultrasonographicsubacromialimpingementtest