Summary estimates from meta-analysis
| Diagnosis Test | No. Studies Sample Size (n) | SN(95% CI) | SP(95% CI) | +LR(95% CI) | -LR(95% CI) | DOR(95% CI) |
|---|---|---|---|---|---|---|
| Impingement | ||||||
| Neer* | 7(n=946) | 0.72(0.60, 0.81) | 0.60(0.40, 0.77) | 1.79(1.24, 2.58) | 0.47(0.39, 0.56) | 3.83(2.51, 5.84) |
| H-K* | 7(n=944) | 0.80(0.72, 0.86) | 0.56(0.45, 0.67) | 1.84(1.49, 2.26) | 0.35(0.27, 0.46) | 5.18(3.64, 7.35) |
| Painful Arc* | 4(n=756) | 0.53(0.31, 0.74) | 0.76(0.68, 0.84) | 2.25(1.24, 4.08) | 0.62(0.37, 1.03) | 3.66(1.24, 10.81) |
| SLAP | ||||||
| Active Compression* | 6(n=782) | 0.67(0.51, 0.80) | 0.37(0.22, 0.54) | 1.06(0.90, 1.25) | 0.89(0.67, 1.20) | 1.19(0.76, 1.86) |
| Speeds* | 4(n=327) | 0.20(0.05, 0.53) | 0.78(0.58, 0.90) | 0.90(0.43, 1.90) | 1.03(0.86, 1.23) | 0.87(0.35, 2.55) |
| Anterior Slide* | 4(n=831) | 0.17 (0.03, 0.55) | 0.86(0.81, 0.89) | 1.20(0.22, 6.51) | 0.97(0.96, 1.36) | 1.24(0.16, 9.47) |
| Crank*† | 4(n=282) | 0.34(0.19, 0.53) | 0.75(0.65, 0.83) | 1.36(0.84, 2.21) | 0.88(0.69, 1.12) | 1.54(0.75, 3.18) |
| Yergason's | 3(n=246) | 12.4(6.60, 20.6) | 95.3(90.6, 98.1) | 2.49(0.97, 6.40) | 0.91(0.84, 0.99) | 2.67(0.99, 7.73) |
| Relocation | 3(n=246) | 51.6(41.2, 61.8) | 52.4(44.0, 60.6) | 1.13(0.88, 1.45) | 0.93(0.72, 1.20) | 1.23(0.72, 2.11) |
| Biceps Palpation | 2(n=114) | 38.6(26.0, 52.4) | 66.7(52.9, 78.6) | 1.06(0.66, 1.68) | 0.95(0.74, 1.22) | 1.13(0.51, 2.50) |
| Compression Rotation† | 2(n=355) | 24.5(13.8, 38.3) | 78.0(72.9, 82.5) | 2.81(0.20, 39.70) | 0.87(0.66, 1.16) | 3.39(0.15, 74.78) |
| Anterior Instability | ||||||
| Relocation† | 3(n=509) | 64.6(54.9, 73.4) | 90.2(86.8, 93.0) | 5.48(0.56, 53.8) | 0.55(0.24, 1.27) | 10.64(0.32, 354.10) |
| Apprehension | 2(n=409) | 65.6(52.7, 77.1) | 95.4(93.3, 97.8) | 17.21(10.02, 29.55) | 0.39(0.22, 0.68)† | 53.60(24.29, 118.30) |
| Surprise | 2 (n=128) | 81.8(69.1, 90.9) | 86.1(72.1, 94.7) | 5.42(0.96, 30.52)† | 0.25(0.08, 0.78)† | 28.10(7.71, 102.45) |
| Tendinopathy | ||||||
| H-K | 3(n=738) | 65.5(60.3, 70.5) | 62.8(57.3, 68.1) | 1.86(1.47, 2.34) | 0.46(0.36, 0.60) | 4.68(3.35, 6.53) |
| Labral Tear | ||||||
| Crank | 3(n=187) | 57.3(47.2, 67.0) | 72.6(61.8, 81.8) | 2.44(0.69, 8.59) | 0.51(0.21, 1.22) | 5.81(0.47, 71.50) |
SN= sensitivity, SP=specificity, +LR=positive likelihood ratio, -LR=negative likelihood ratio, DOR=diagnostic odds ratio, CI=confidence interval, SLAP=…….,
↵* HSROC/Bivariate models and all others use DerSimoninian-Laird random-effects models.
↵† indicates those studies and properties demonstrating significant heterogeneity (p>0.10).