الفهرس 
one Shoulder AnatomyOnly 14 pages are availabe for public view
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Abstract
Objective: To assess the sensitivity and specificity of different clinical tests of the shoulder and its relation to arthroscopic evaluation of patients presenting to Fayoum university hospital for arthroscopic shoulder surgery.
Methods: A retrospective review of 15 consecutive shoulder arthroscopies performed at Fayoum university hospital over two years. Preoperative clinical diagnosis was compared with operative arthroscopic findings. Additional information from preoperative imaging was compared with arthroscopic findings. Preoperative clinical examinations and consent were undertaken. Consultants specializing in upper limb surgery performed the operations.
Results: three main groups were identified on the basis of clinical examination: impingement, instability, and rotator cuff tear. Clinical diagnosis of impingement correlated fairly well with the arthroscopic findings, [75%]. Clinical diagnosis of anterior instability correlated fairly well with the arthroscopic findings [90%]. Clinical diagnosis of supraspinatus tear by Jobe test correlated fairly well with the arthroscopic findings [87.5%]. Clinical diagnosis of infraspinatus muscle tear by DROP arm test correlated fairly weak with the arthroscopic findings, [33.5%]. Clinical diagnosis of subscapularis tears by Lift off test of correlated fairly weak with the arthroscopic findings, [50%]. Clinical diagnosis of biceps tendon pathology by Speed’s test of correlated fairly well with the arthroscopic findings [83.5%].
Conclusion: There have been very few studies comparing clinical examination of the shoulder with arthroscopic findings. This study emphasizes the importance of good clinical examination skills in diagnosing common shoulder abnormalities. The addition of imaging, particularly magnetic resonance imaging further increases the likelihood of an accurate diagnosis.