Yergason’s Test for shoulder pain chungchang hi i zir dawn teh ang.

I kekawrte na, i kut chawi sang harsatna, i kekawrte atanga "click" ri lo chhuak ang chi harsatna i nei bawk em? A châng chuan kan doctor-te hian heng thilte chhan dik tak hriat tumin taksa test bik engemaw zat an nei ṭhin. Chutiang test pawimawh tak pakhat chu Yergason’s Test . Vawiin hian he thu hi i hriatthiam theih tur awlsam takin sawi ila, a tha em?

Yergason-a Test chu eng nge ni?

A awlsam zawngin sawi ila, Yergason’s Test hi kan doctor-te taksa enfiahna bik a ni. Hei hi a tum ber chu kan biceps muscle, a bik takin biceps tendon lu sei tak , shoulder-a inzawm chhiat zawng zawng hriatchhuah a ni. Chu mai ni lovin, he test hian thil dang engemaw zat ngaihtuahna a pe thei bawk. Entir nan:

• I transverse humeral ligament ah hian tear i nei em?
• SLAP tear an tih hi ke ruhah hliam bik a awm em?
• Biceps tendonitis tih hi a awm em?

Tunah chuan heng hmingte hi a buaithlak deuh niin i ngai mai thei. Ngaihtuah buai suh, awlsam takin i vawng ang u.

A hmasa berah chuan kan biceps muscle te hi khawiah nge an awm?

Biceps hi mi zawng zawng hriat lar tak, i kut i flex a, "i taksa ruhte lantir" tura lo chhuak thin muscle a ni. Kan kut chunglam, humerus chung lamah an awm a, chu chu ruh atanga kekawr bul thlenga kal a ni. Biceps muscle hian hna tam takah min pui a, chu chu thil rit phurh te, kan elbow ben te, leh kan kut kan lu chunga kan han phar te hi a ni.

Chuti a nih chuan, biceps tendon lu sei tak hi khawiah nge a awm?

Tendons hi tissue chak tak, ruh leh ruh inzawmkhawmtu a ni. Kan biceps muscle hian tendon lian pathum a nei a.

• Tendon pahnih hian biceps chu shoulder joint nen a thlunzawm a. Biceps tendon lu sei tak chu glenoid-ah a inzawm a, chu chu shoulder joint chunglam socket a ni.
• Tendon tawi dang (biceps tendon lu tawi) chu shoulder bone (scapula)-a coracoid process-ah a inzawm a ni.
• Tendon pathumna hian biceps muscle chu kan kut hmawr, elbow-a radius bone nen a thlunzawm a ni.

Yergason’s Test hian a bik takin kekawrte nena inzawm tendon sei tak a nghawng a ni.

Transverse humeral ligament hi eng nge ni?

Hei hi ligament te tak te, zau tak, horizontal ligament a ni. Ligaments chu ruh inzawmkhawmtu tissue a ni. He transverse humeral ligament hi kan kut chunglam ruh (humerus) "ball"-ah chiah a awm a, biceps tendon lu sei tak chungah chiah a awm a ni. He ligament hian a tih pawimawh ber chu biceps tendon lu sei tak chu bicipital groove an tih groove-ah a hmunah a awm reng a, kan kut kan sawn hian a chhuah loh nan a ni. He tendon hi belt ang maiin a hmunah a vawng tlat a ni.

SLAP tear tih hi eng nge ni?

SLAP hi Superior Labrum Anterior atanga Posterior tear tihna acronym a ni. Labrum hi cartilage ring a ni a, chu chuan shoulder joint glenoid cavity, a nih loh leh "socket" a hual vel a ni. Labrum hian shoulder joint a ti nghet thei a ni. SLAP tear chu he labrum chunglam, hmalam atanga hnunglam thlenga hliam a ni - a tear, a tear, a complete tear a ni thei. Pawimawh tak chu biceps tendon lu sei tak pawh hi he labrum chunglam hi a inzawm tlat a ni. Chuvangin labrum hi a hliam a nih chuan biceps tendon pawh a nghawng theihna chance a sang hle.

Biceps tendonitis tih hi eng nge ni?

Hei hian kan upper biceps tendon, a bik takin long tendon-ah hian inflammation emaw irritation emaw a awm tihna mai a ni. Hetiang dinhmun hi tendon hman tam lutuk avanga lo awm a ni a, chu chu repetitive movement, heavy lifting, etc. biceps tendon hi kum tam tak chhunga a kekawrte a chhe tawh avangin a inflamed thei bawk.

Yergason-a test hi engtin nge an tih?

Doctor-in he test hi i ke ruh natna avanga doctor hnena i kal hunah a tih dan tur hi han ngaihtuah teh.

1. I thut emaw, ding nghet emaw tur a ni. I kut chu i sir lamah natural takin hnuai lamah dah la, i kut hnunglam chu hmalam hawiin dah rawh.

2. A dawtah chuan i elbow chu 90-degree angle (flex)-ah i ben a ngai a ni. A pawimawh ber chu i elbow leh upper arm chu i taksa hnaih taka dah hi a ni. I kutphah chu lei lam hawi reng tur a ni.

3. Tunah chuan doctor chuan kut pakhat kut zungtang chu zawi zawiin i kephah hmalam, bicipital groove awmna (transverse humeral ligament leh biceps tendon sei tak awmna) hmunah a dah ang. Hei hi exam laiin chutah chuan eng chetna pawh an hriat duh vang a ni.

4. A kut dang hmangin i kut hmawr chu a rawn man ang. Hei hi i kut i tihchet hunah resistance tlem a pek theih nan tih a ni.

5. Tichuan, vawi khatah movement pahnih ti turin an ti che a:

• I elbow te chu i taksa hnaih taka dahI kut hmawr chu pawn lam hawiin, kutphah chu a chunglam hawiin i rotate a ngai a ni.
• Chutih rual chuan i kut hmawr chu i taksa atanga pawn lam tlem i sawn a ngai bawk.

He test tho hi i kut "tha" dang, natna nei loah pawh tih a ni. An pahnih hi khaikhin la, danglamna a awm em tih en rawh.

Yergesson test chu "positive" a nih chuan eng nge a awmzia?

He test hi a hnuaia mi hi a lo awm chuan "positive" anga ngaih a ni:

• I transverse humeral ligament a chhe a nih chuan i kekawr ipte chunga doctor kut zungtang te chu "click" emaw snapping sensation emaw a ni ang. Hei hi a chhan chu biceps tendon sei tak, ligament-in nghet taka a vawn chu tunah chuan bicipital groove atangin a chhuak ta a ni.
• Tin, test neih laiin i kekawrteah natna emaw, natna emaw i neih chuan chu pawh chu "positive" chhinchhiahna a ni. Hetiang natna chi hi tendinopathy (tendon-a hun rei tak chhunga natna awm thei), tendinosis (tendon-a protein collagen tihchhiat), emaw SLAP tear ang chi natna a ni thei.

He test hi engtiang chiahin nge a dik?

Yergason-a test hian biceps tendon-a harsatna awmte hriatchhuahna atan sensitivity 43% leh specificity 79% a nei niin an sawi.

Test pakhat sensitivity leh specificity chu engte nge ni?

Heng thumal pahnih hi damdawi lam deuh angin lang mah se, hriatthiam a awlsam hle.

• Sensitivity tih hian test hmanga natna vei tak tak te dik taka hriat theihna a kawk a, "yes, I have the disease" tih a ni. Sensitivity a san poh leh false negative a tlem zawk thin.
• Specificity tih hian test-in natna nei tak tak lote dik taka a hriat theihna chu "ni lo, natna chu a awm lo" tih a kawk a ni. Specificity a san poh leh false positive a tlem zawk.

Heng percentage pahnih hi 100% hnaih poh leh natna hriat danah test a dik zawk thin. Mahse, test pakhat chauh pawh hi thutlukna siam theih a ni thei lo tih hre reng ang che.

He test zawhah hian eng nge i tih thin?

Yergason-a test chu "positive" a nih chuan, emaw, doctor-in thu belhchian dawl zawk a mamawh nia a hriat chuan a hnuaia mi hi a ti thei ang:

• Taksa test dang: Test bik dang, Speed-a test emaw O’Brien-a test emaw pawh tih theih a ni. Chutiang pawh chu tawi te tein han thlir ila.
• Imaging test hrang hrang:MRI (Magnetic Resonance Imaging) scan ang chi thil chu kekawr chhung lam en turin thupek a ni thei.
• Enkawl dan tur ruahmanna: 1.1.
• Chawlh hahdam: Kekawrte chawlh hahdam hi a pawimawh hle.
• Ice: Ni khatah vawi tam tak minute 15-20 vel ice i hnawih thei a, chu chuan natna leh hliam a tiziaawm thei a ni.
• Anti-inflammatory medications: Doctor chuan natna tihziaawmna tur leh inflammation control nan damdawi a pe thin.
• Cortisone shots: A chang chuan, damdawi cortisone an tih chu shoulder joint-ah direct-in inject theih a ni a, chu chuan rang takin natna leh inflammation a tiziaawm thei a ni.
• Physical therapy: Physical therapist puihnain exercise i ti thei a, chu chuan shoulder muscles a tichak a, flexibility a tipung thei bawk.
• Debridement: shoulder joint chhung atanga tissue chhe tawh, chhe tawh emaw, lo sei tawh emaw surgery hmanga lakchhuah (a tam zawkah chuan arthroscopy ang chi incision te tak te hmanga lakchhuah a ni).
• Surgery dang: A châng chuan a chhan a zirin biceps tenotomy (tendon cutting) emaw tenodesis (tendon hmun danga dah leh) emaw ang chi surgery neih a ngai thei bawk.

Shoulder disorder hriatchhuah nan test tam zawk neih a ni

Yergason-a test chungchang tlem han zir ila, chubakah doctor-te hman test dang tlemte pawh i zir bawk ang.

Speed-a Test a ni

Hei hi taksa enfiahna dang a ni a, biceps tendon-a harsatna awm zawng zawng, a bik takin biceps tendon lu sei lama harsatna awm, SLAP tears emaw tendinopathy of the shoulder emaw te hi a ni.

A tih dan tur (simple): .

I kut chu i sir lamah dahin i ding ang a, i kutphah chu hmalam hawiin i ding ang. I elbow ben lovin i kut chu semi-circular motion (ball thlak ang chi) in i shoulder chunglam (90-degree angle-a) a nih thlengin chawi sang rawh. Hetianga i kut i han chawi sang chuan doctor chuan a kut pakhat chu i kut hmawr chungah a dah ang a, dodalna engemaw zat a pe ang.

Hei hi a danglamna a awm bawk. Doctor chuan a natna chi hrang hrang a zirin a hman dan tur dik tak a thlang ang.

Engtin nge "positive" nih theih ang?

He test neih chhung hian natna emaw chak lohna emaw i neih chuan test hi "positive" a ni. Natna hian biceps tendon inflammation (biceps tendonitis) emaw SLAP lesion emaw a kawk thei. I chak lohna (i.e., i kut i chawi sang thei lo) i neih chuan biceps tendon-ah tear i nei thei.

Accuracy: He test hian biceps tendon-a harsatna awmte hriatchhuahna atan sensitivity 32% leh specificity 75% a nei tih a tarlang.

O'Brien-a Test a ni

Hei hi biceps tendon natna, a bik takin biceps tendon lu sei tak hliam leh SLAP lesions te hriatchhuahna atana hman test dang a ni.

A tih dan tur (simple): .

I ding emaw, i thut lai emaw chuan i kut chu i hmaah dinglam hawiin i shoulder level (90 degrees) thlengin chawi sang rawh. Tichuan i kut chu chhunglam hawiin i taksa lam hawiin tlem han herh leh rawh (10-degree adduction). Tunah chuan i kut chu i kutpui hnuai lam hawi tur leh i kutphah chu i taksa atanga hla zawka hawi turin her la. Doctor chuan i kut hmawr chunglam chu hnuai lam hawia pressure a pek angin, a chungah chakna i hmang tur a ni. A dawtah chuan i kutphah chu chunglam hawi turin i kut hmawr chu her la, doctor-in hnuai lam hawia a nawr chu chakna hmang leh rawh.

Engtin nge "positive" nih theih ang?

He test i tih hian natna i neih chuan test chu "positive" a ni. Shoulder joint-a natna hian SLAP lesion a awm tih a tilang thei. I kut i hawi let chuan a natna a tlahniam a nih chuan chu chuan SLAP tear i nei tih finfiahna a belhchhah zawk a ni.

Accuracy: He test hian SLAP lesions hmuhchhuahna atan sensitivity 38% leh specificity 61% a nei tih a tarlang.

Pawimawh: Heng test te hi nangmah ngeiin tih tum suh. Heng test te hi doctor thiam tak chauhin tih tur a ni.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Yergason’s Test hi taksa test pawimawh tak a ni a, rang tak leh awlsam takin biceps tendon-a harsatna awm thei thenkhat, ke ruh natna thlen thei te chu a hriat theih a ni. A bik takin, biceps tendon lu sei tak hliam, transverse humeral ligament tears, SLAP tears, leh biceps tendonitis te ang chi natna te hriatchhuahna kawngah a pui thei a ni.

Mahse, hetiang "positive" test hian thil pawi tak i nei dawn tihna a ni lo tih hre reng ang che. I doctor chuan test tam zawk a kalpui ang a, i symptoms nen a khaikhin ang a, definitive diagnosis a siam ang. Tichuan, nang leh i doctor chuan i tan a tha tur treatment plan siam turin in thawk ho ang. Hei hian chawlh hahdamna, ice, natna tidamtu, leh taksa lam enkawlna ang chi conservative treatment te a huam thei a, a tul chuan surgery option te pawh a huam thei bawk.

Chuvangin, i kekawrte natna (persistent shoulder pain) i neih chuan doctor pan pawh hlau suh. Ani emaw ani emaw chuan a pui ang che.

` Yergason test, biceps tendon, kekawr natna, SLAP tear, tendinitis, kekawrte test, taksa enfiahna te