TY - JOUR T1 - Education from other journals #12 JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 493 LP - 494 DO - 10.1136/bjsports-2018-100283 VL - 54 IS - 8 AU - Darren Patrick Moloney AU - Ronan Kearney AU - Matthew Cosgrave AU - Christina Le Y1 - 2020/04/01 UR - http://bjsm.bmj.com/content/54/8/493.abstract N2 - Orthop J Sports Med 2018 ;6:2325967118784897Rotator cuff disorders are the most common cause of shoulder pain in the general population. Unfortunately, the diagnosis of a rotator cuff tear is not always obvious and can present a diagnostic dilemma, especially in the older patients. When uncertainty exists, expensive imaging such as MRI may be required to aid diagnosis.When it comes to the clinical examination of a shoulder, there are an abundance of ‘special tests’, although individually these tests are limited in diagnostic accuracy for rotator cuff tears. Would not it be great if a battery of clinical tests could predict the likelihood of a tear? Such a tool would be convenient for the primary care physician whose access to ultrasound or MRI is often limited and costly.In this analysis of 301 patients, four diagnostic variables: male sex, Jobe’s test (empty can test), lift-off test and external rotation strength ratio were highly predictive of a rotator cuff tear in patients ≥45 years of age with >4 weeks of shoulder pain.Take home message: This diagnostic aid has the potential to improve clinical identification of rotator … ER -