Lɛ wi lan bɔt di Yergason in Tɛst fɔ sholda pen.

yu gεt prכblεm dεm bak lεk sholda pen, difrεnt fכ es yu an, כ "klik" sawnd we de kכmכt na yu sכlda? Sɔntɛnde, wi dɔktɔ dɛn kin du sɔm spɛshal tɛst dɛn fɔ no wetin mek dɛn tin ya apin. Wan pan dɛn impɔtant tɛst dɛn de we dɛn kɔl di Yergason’s Test . Mek wi tok abaut dis tide fo simpul we we yu go andastan, okay?

Wetin na Yergason in Tɛst?

Fɔ tɔk am simpul wan, Yergason in Tɛst na spɛshal ɛgzam we wi dɔktɔ dɛn kin du. di men tin we mek dis na fכ no eni damej pan wi biceps mכsul, spεshal wan di lכng ed fכ di biceps tεndon we de atak di sכlda. Nɔto dat nɔmɔ, dis tɛst kin gi yu aidia bak bɔt bɔku ɔda tin dɛn. Fɔ ɛgzampul:

• Yu gɛt tear na yu transvas humeral ligament?
• Spɛshal injuri de na di sholda we dɛn kɔl SLAP tear?
• Wan sik de we dɛn kɔl biceps tendonitis?

Naw yu go de tink se dɛn nem ya kɔmplikt smɔl. Nɔ wɔri, lɛ wi kip am simpul.

Fɔs, usay wi biceps mɔsul dɛn de?

di biceps na di mכsul we כlman no we de kam כp we yu fleks yu an fכ "sho yu mכsul dεm." Dɛn de na di tap pat pan wi ɔp an, di humerus, we na di bon we de rɔn frɔm di sholda to di ɛlb. Di biceps mɔsul de ɛp wi fɔ du bɔku wok dɛn lɛk fɔ es wet, fɔ bɛn wi ɛlbow, ɛn fɔ es wi an dɛn ɔp wi ed.

So, usay di lכng ed fכ di biceps tεndon de?

di tεndon dεm na strכng tisu dεm we de kכnekt di mכsul dεm to di bon dεm. Wi biceps mכsul gεt tri men tεndon dεm.

• tu tεndon dεm de kכnekt di biceps to di sכlda jכint. di lכng ed fכ di biceps tεndon de atak di glenoid, we na wan sכkεt we de na di tכp pat pan di sכlda jכint.
• di כda sכt tεndon (di sכt ed fכ di biceps tεndon) de atak di kכrakoyd prכsεs fכ di sכlda bon (scapula).
• di tכd tεndon de kכnekt di biceps mכsul to di rayus bon na wi fכs an, na di εlbo.

di Tεst we Yergason de du kin afekt di lכng tεndon we de atak di sכlda mεntal wan.

Wetin na di transvas humeral ligament?

Dis na smɔl, wayd, ɔrizɔntal ligamɛnt. di ligament dεm na di tisu dεm we de kכnεkt di bon dεm to dεn wan dεm. dis transvas humeral ligament de rayt pan di "bol" fכ wi כp an bon (humerus), jכs oba di lכng ed fכ di biceps tεndon. di imכtant tin we dis ligament de du na fכ kip di lכng ed fכ di biceps tεndon in ples insay wan grov we dεn kכl bicipital groove, εn fכ mek i nכ slip kכmכt we wi de muv wi an. Dis tεndon de ol in ples lεk bεlt.

Wetin na SLAP tear?

SLAP na akɔdin fɔ Superior Labrum Anterior to Posterior tear. di labrum na ring fכ di kכtilaj we de rawnd di glenoid cavity, כ "sכkεt," fכ di sכlda jכint. di labrum de εp fכ mek di sכlda jכint stebul. SLAP tear na injuri na di כp pat pan dis labrum, frכm fכnt to bak - i kin bi tear, tear, כ komplit tear. di imכtant tin na di lכng ed fכ di biceps tεndon de atak bak to di כp pat pan dis labrum. so if di labrum inju, chans de fכ mek i afekt di biceps tεndon bak.

Wetin na biceps tendonitis?

dis jכs min se inflameshn כ iritashכn de na wi כp biceps tεndon, spεshal wan di lכng tεndon. dis kכndyushכn de kכz fכ yus di tεndon pasmak, lεk we yu de muv ripit, we yu de es hεvi, εn כda tin dεm.

Aw dɛn kin du di tɛst we Yergason bin du?

Imajin aw dɔktɔ go du dis tɛst we yu go to dɔktɔ fɔ mek yu sholda pen.

1. Yu fɔ sidɔm ɔ tinap stret. Put yu an dɛn nɔmal wan dɔŋ na yu sayd dɛn, wit di bak pat pan yu an we de luk bifo.

2. Neks, yu nid fכ bεnd yu εlbo to 90 digri angle (fleks). Di tin we impɔtant pas ɔl na fɔ kip yu ɛlbo ɛn ɔpa an nia yu bɔdi. Yu an fɔ stil de fes di grɔn.

3. naw di dכkta go put di finga dεm fכ wan an jכnt na di fכnt pat pan yu sכlda, usay di bicipital grov de (we di transvas humeral ligament εn di lכng tεndon fכ di biceps de). Dis na bikɔs dɛn want fɔ fil fɔ ɛni muvmɛnt de we dɛn de du di ɛgzam.

4. Wit im oda han, im go grab yu foarm. Dɛn kin du dis fɔ mek yu nɔ ebul fɔ tinap smɔl we yu de muv yu an.

5. Dɔn, dɛn kin aks yu fɔ du tu muvmɛnt dɛn wan tɛm:

• Fɔ kip yu ɛlb dɛn nia yu bɔdiYu nid fɔ rɔta yu fɔs an go na do, yu an fes ɔp.
• Na di sem tɛm, yu nid bak fɔ muv yu fɔs an smɔl kɔmɔt na yu bɔdi.

Dɛn kin du dis sem tɛst pan yu ɔda "gud" an, di wan we nɔ gɛt pen. Kɔmpia dɛn tu fɔ si if difrɛns de.

Wetin i min fɔ mek Yergesson tɛst "positiv"?

Dɛn kin tek dis tɛst as "positiv" if dɛn tin ya apin:

• if yu transvas humeral ligament dכn tכn, di dכkta in finga dεm na yu sכlda go fil "klik" כ snap sens. dis na biכs di lכng tεndon fכ di biceps we di ligament bin de ol fayn fayn wan, naw de slip kכmכt na di bicipital grov.
• כlso, if yu fil pen כ tεndεns na yu sכlda we yu de du di tεst, dat na "positiv" sayn bak. dis kayn pen kin sho se yu gεt kכndyushכn lεk tεndinopathy (we de sik fכ di tεndon fכ lכng tεm), tεndinosis (we di protin kolagen we de na di tεndon de brok dכn), כ SLAP tear.

Aw dis tɛst kɔrɛkt?

dεn se di tεst we Yergason du fכ gεt sεnsitiviti fכ 43% εn spεsifisiti fכ 79% fכ dεtekt prכblεm wit di biceps tεndon.

Wetin na di sɛnsitiviti ɛn spɛsifisiti fɔ wan tɛst?

Pan ɔl we dɛn tu wɔd ya kin tan lɛk se na mɛrɛsin smɔl, dɛn simpul fɔ ɔndastand.

• Sεnsitiviti de tכk bכt di abiliti fכ wan tεst fכ kכrekt fכ no pipul dεm we rili gεt sik lεk "yes, a gεt di sik." Di mɔ di sɛnsitiviti, na di mɔ di lay lay nɛgitiv dɛn nɔ bɔku.
• Spɛsifisiti de tɔk bɔt di ebul we tɛst kin ebul fɔ no di pipul dɛn we nɔ rili gɛt sik as "nɔ, di sik nɔ de." Di hכy di spεsifisiti, di fכs fכs positifu dεm de.

Di mɔ dɛn tu pasɛnt ya de nia 100%, na di mɔ di tɛst de kɔrɛkt fɔ no di sik. Bɔt mɛmba se, wan tɛst nɔmɔ nɔ go ebul fɔ mek wi no ɔltɛm.

Wetin yu kin du afta dis tɛst?

If di Yergason in tɛst "positiv," ɔ if di dɔktɔ tink se i nid mɔ infɔmeshɔn, i kin du dɛn tin ya:

• Ɔda tɛst dɛn fɔ yu bɔdi: Dɛn kin du ɔda spɛshal tɛst dɛn lɛk Speed ​​in tɛst ɔ O’Brien in tɛst. Lɛ wi tek smɔl luk pan dɛn wan dɛn de bak.
• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:Dɛn kin ɔda sɔntin lɛk MRI (Magnetic Resonance Imaging) skan fɔ luk insay di sholda.
• Di tin dɛn we dɛn kin tɔk bɔt aw fɔ trit am:
• Rɛst: Fɔ rɛst di sholda rili impɔtant.
• Ays: Yu kin put ays fɔ 15-20 minit bɔku tɛm insay di de fɔ mek yu nɔ fil pen ɛn swel.
• Anti-inflammatory medications: Di dɔktɔ kin gi yu mɛrɛsin fɔ ridyus pen ɛn kɔntrol inflammatory.
• Kɔtizɔn shot: Sɔntɛnde, dɛn kin injɛkt wan mɛrɛsin we dɛn kɔl kɔtizɔn dairekt insay di sɔl jɔyn, we kin mek di pen ɛn inflamɛns nɔ bɔku kwik kwik wan.
• Fɔ trit yu bɔdi: If yu gɛt ɛp frɔm dɔktɔ we de mɛn yu bɔdi, yu kin du ɛksesaiz dɛn we go mek di mɔsul dɛn na yu sɔl strɔng ɛn mek yu ebul fɔ chenj di we aw yu de du tin.
• Debridement: Na di ɔspitul we dɛn kin pul di tisu we dɔn rɔtin, we dɔn rɔtin, ɔ we nɔ tay frɔm insay di sɔl jɔyn (bɔku tɛm tru smɔl say we dɛn kɔt lɛk atrɔskɔpi).
• Ɔda ɔpreshɔn dɛn: Sɔntɛnde, i kin nid fɔ du ɔpreshɔn lɛk biceps tenotomy (fɔ kɔt di tɛndon) ɔ tenodesis (fɔ tay di tɛndon bak to ɔda say).

Mɔ tɛst fɔ no if pɔsin gɛt prɔblɛm wit in sɔl

Lɛ wi lan smɔl bɔt di Yergason in tɛst, ɛn sɔm ɔda tɛst dɛn we dɔktɔ dɛn kin yuz.

Spid in Tɛst

dis na כda fכshal εgzam we dεn kin du fכ luk fכ prכblεm wit di biceps tεndon, spεshal prכblεm wit di lכng ed fכ di biceps tεndon, lεk SLAP tεar כ tεndinopathy na di sכlda.

Aw fɔ du am (simpul): .

Yu go tinap wit yu an na yu sayd, yu an de luk bifo. We yu nɔ bɛn yu ɛlbo, es yu an ɔp insay wan sɛmi-sɛkɔral muvmɛnt (lɛk we yu de trowe bɔl) te i go dairekt ɔp yu sholda (na 90 digri angle). As yu de es yu an dis we, di dɔktɔ go put wan pan in an dɛn pan yu fɔs an ɛn gi yu sɔm tin we go mek yu nɔ ebul fɔ du am.

Difrɛn tin dɛn de bak we de apin to dis. Di dɔktɔ go pik di rayt we fɔ du am dipen pan di kayn pen we i de fil.

Aw fɔ bi "positiv"?

If yu fil pen ɔ wik we yu de du dis tɛst, di tɛst na "positiv." pen kin sho se di biceps tεndon inflameshn (biceps tendonitis) כ SLAP lεshכn. if yu fil wik (i.e., yu nכ kin es yu an), yu kin gεt tear na di biceps tεndon.

akכda: dis tεst de sho sεnsitiviti fכ 32% εn spεsifisiti fכ 75% fכ dεtekt prכblεm wit di biceps tεndon.

Tɛst we O’Brien bin du

dis na כda tεst we dεn kin yuz fכ no di biceps tεndon dizכrd, spεshal injuri dεm na di lכng ed fכ di biceps tεndon εn SLAP lεsin dεm.

Aw fɔ du am (simpul): .

We yu tinap ɔ sidɔm, es yu an ɔp stret bifo yu te yu sholda lɛvɛl (90 digri). Dɔn tɔn yu an smɔl insay to yu bɔdi (10-digri adduction). Naw tɔn yu an so dat yu big an go de pɔynt dɔŋ ɛn yu an go de fa frɔm yu bɔdi. As di dɔktɔ de prɛs yu dɔŋ na di tap pat pan yu fɔs an, yu fɔ put pawa pan am. Neks, tɔn yu fɔs an so dat yu an go de ɔp, ɛn bak yuz pawa agens di prɛshɔn we di dɔktɔ de put dɔŋ.

Aw fɔ bi "positiv"?

If yu fil pen we yu de du dis tɛst, di tɛst na "positiv." Pen na di sholda joyn kin sho se yu gɛt SLAP lɛshɔn. If di pen go dɔŋ we yu tɔn yu an, dat de ad mɔ pruf fɔ se yu gɛt SLAP tear.

akכda: Dis tεst de sho sεnsitiviti fכ 38% εn spεsifisiti fכ 61% fכ dεtekt SLAP lεshכn dεm.

Impɔtant: Nɔ tray fɔ du ɛni wan pan dɛn tɛst ya yusɛf. Na dɔktɔ nɔmɔ we sabi du dɛn tɛst ya fɔ du dɛn.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

di Yergason in Tεst na imכtant fכshal tεst we kin kwik εn izi fכ no sכm pan di prכblεm dεm wit di biceps tεndon we kin mek yu sכlda pen. spεshal wan, i kin εp fכ no di kכndyushכn dεm lεk lכng ed fכ di biceps tεndon injuri, transvas humeral ligament tear, SLAP tear, εn biceps tεndonayt.

Bɔt mɛmba se, "positiv" tɛst lɛk dis nɔ min se yu go gɛt ɛnitin we siriɔs. Yu dɔktɔ go rɔn mɔ tɛst ɛn kɔmpia dɛn to yu sik fɔ mek yu no if yu gɛt di sik. Dɔn, yu ɛn yu dɔktɔ go wok togɛda fɔ mek wan tritmɛnt plan we go fayn fɔ yu. Dis kin inklud kɔnsavaytiv tritmɛnt dɛm lɛk fɔ rɛst, ays, pen kil, ɛn fyzikal tritmɛnt, ɛn ɔpreshɔn opshɔn dɛm if nid de.

So, if yu gɛt pen na yu sholda ɔltɛm, nɔ fred fɔ go to dɔktɔ. I go ɛp yu.

` Yergason test, biceps tendon, sholda pen, SLAP tear, tendinitis, sholda test, fyzikal egzam