
Does this patient with shoulder pain have rotator cuff disease?
For patients with shoulder pain, the physician could perform a single pain provocation test (painful arc test), 3 strength tests (internal rotation lag test, external rotation lag test, and drop arm test), and 1 composite test (external rotation resistance test). There are many possible combinations of findings with these 5 tests, so most of the combinations have not been studied for their independence, making the selection of an appropriate likelihood ratio difficult > from Hermans et al.; JAMA. 310 (2013) 837-847. All rights reserved to the authors and JAMA.
The free full text article can be read here.
Please watch this great video summary of the article here, as it really adds aditional information. Underneath the printscreen below you can find a few instruction videos of the described test.
Printscreen of the video summary.