Test, author [ref] and year | Sample size | Sensitivity/specificity | LR+/LR− | QUADAS score | Criterion standard |
Supraspinatus/Jobe empty can test | |||||
Park et al25 2005 | 552 patients | 53/82 | 3.0/0.57 | 10 | Surgery |
Boileau et al31 2004 | 21 patients | 81/NR | NR/NR | 10 | Surgery |
Holtby & Razmjou27 2004 | 50 patients | 41/70 | 1.4/0.84 | 13 | Surgery |
Litaker et al32 2000 | 448 patients | 64/65 | 1.8/0.55 | 10 | Double-contrast arthrography |
Itoi et al35 1999 | 143 shoulders | 89/98 | 45/0.11 | 8 | Surgery & MRI |
Hertel et al28 1996 | 87 patients | 84/54 | 2.0/0.28 | 7 | Surgery |
Leroux et al26 1995 | 55 patients | 86/50 | 1.7/0.28 | 10 | Surgery |
Lift-off test | |||||
Barth et al34 2006 | 68 shoulders | 18/92 | 2.3/0.89 | 11 | Surgery |
Scheibel et al38 2005 | 12 patients | 58/NR | NR/NR | 6 | Surgery & MRI |
Hertel et al28 1996 | 53 patients | 62/98 | 31/0.39 | 7 | Surgery |
Leroux et al26 1995 | 55 patients | 17/60 | 0.43/1.38 | 10 | Surgery |
Gerber & Krushell36 1991 | 13 patients | 92/NR | NR/NR | 9 | Surgery |
Speed/Gilcreest palm-up test | |||||
Park et al25 2005 | 552 patients | 40/75 | 1.6/0.80 | 10 | Surgery |
Boileau et al31 2004 | 21 patients | 48/NR | NR/NR | 10 | Surgery |
Leroux et al26 1995 | 55 patients | 63/35 | 0.97/1.05 | 10 | Surgery |
Neer test | |||||
Park et al25 2005 | 552 patients | 59/47 | 1.1/0.87 | 10 | Surgery |
MacDonald et al22 2000 | 85 patients | 83/51 | 1.7/0.33 | 8 | Surgery |
Hawkins−Kennedy test | |||||
Park et al25 2005 | 552 patients | 69/48 | 1.3/0.65 | 10 | Surgery |
MacDonald et al22 2000 | 85 patients | 88/43 | 1.5/0.28 | 8 | Surgery |
External rotation lag sign | |||||
Walch et al37 1998 | 54 patients | 7 | Surgery | ||
Infraspinatus | 98/98 | 49/0.02 | |||
Teres minor | 95/72 | 3.4/0.07 | |||
Hertel et al28 1996 | 87 patients | 69/98 | 35/0.32 | 7 | Surgery |
Internal rotation lag sign | |||||
Scheibel et al38 2005 | 12 patients | 75/NR | NR/NR | 6 | Surgery & MRI |
Hertel et al28 1996 | 53 patients | 97/96 | 24/0.03 | 7 | Surgery |
Rent test | |||||
Wolf & Agrawal30 2001 | 109 patients | 96/97 | 32/0.04 | 10 | Surgery |
Lyons & Tomlinson 1992 | 42 patients | 73/66 | 2.2/0.41 | 6 | Surgery |
Napoleon sign | |||||
Barth et al34 2006 | 68 shoulders | 25/98 | 13/0.77 | 11 | Surgery |
Scheibel et al38 2005 | 16 patients | 69/NR | NR/NR | 6 | Surgery & MRI |
Drop arm | |||||
Park et al25 2005 | 552 patients | 35/88 | 2.9/0.74 | 10 | Surgery |
Murrell & Walton33 2001 | 400 patients | 10/98 | 5.0/0.92 | 5 | Surgery |
Other tests | |||||
Litaker et al32 2000 − supine impingement sign | 448 patients | 97/9 | 1.07/0.33 | 10 | Double contrast arthrography |
Hertel et al28 1996 − drop sign | 87 patients | 21/92 | 2.6/0.86 | 7 | Surgery |
Park et al25 2005 − infraspinatus test | 552 patients | 51/84 | 3.2/0.58 | 10 | Surgery |
Park et al25 2005 − cross-body adduction | 552 patients | 23/81 | 1.2/0.95 | 10 | Surgery |
Park et al25 2005 − painful arc | 552 patients | 76/62 | 2.0/0.39 | 10 | Surgery |
Barth et al34 2006 − bear-hug test | 68 shoulders | 60/92 | 7.5/0.32 | 11 | Surgery |
Barth et al34 2006 − belly press test | 68 shoulders | 40/98 | 20/0.61 | 11 | Surgery |
Itoi et al35 1999 − full-can test | 143 shoulders | 86/57 | 2/0.25 | 8 | Surgery & MRI |
Walch et al37 1998 − hornblower's sign | 54 patients | 95/92 | 12/0.05 | 7 | Surgery |
Scheibel et al 200538 − belly-off test | 16 patients | 38/NR | NR/NR | 6 | Surgery & MRI |
Note: the same study may have different numbers of sample size based on how many subjects received the OST.
For the Scheibel et al study, two groups were combined to report the sensitivity of the OSTs for any rotator cuff tear, whether partial or complete.