Z Orthop Unfall 2021; 159(03): 332-335
DOI: 10.1055/a-1440-2242
Videopaper

Evidenzbasiertes Lehrvideo für Untersuchungstechniken am Schultergelenk

Article in several languages: English | deutsch
1   Trauma and Reconstructive Surgery, Professional Association Trauma Clinic Tübingen, Germany
,
Maria-Christina Stefanescu
2   Trauma, Hand and Reconstructive Surgery Clinic, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
,
Atesch Ateschrang
3   Orthopaedic and Trauma Surgery, Community Clinics Koblenz Mayen, Koblenz, Germany
,
Susanne Froehlich
4   Orthopaedic Clinic and Polyclinic, University Clinics Rostock, Rostock, Germany
,
Udo Obertacke
5   Orthopaedic and Trauma Surgery Centre, University Clinics Mannheim, Germany
,
Arndt Peter Schulz
6   Clinic for Surgery of the Musculoskeletal and Locomotor System of Lübeck University, Lübeck, Germany
7   Trauma Surgery and Orthopaedics, Professional Association Trauma Hospital Hamburg, Germany
,
Hauke S. Meyerhoff
8   Knowledge Media Institute, Tübingen, Germany
,
Eva J. Oswald
9   Media Competence Centre, Eberhard Karl University of Tübingen, Tübingen, Germany
,
Jasmina Sterz
2   Trauma, Hand and Reconstructive Surgery Clinic, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
,
2   Trauma, Hand and Reconstructive Surgery Clinic, Johann Wolfgang Goethe University, Frankfurt am Main, Germany
› Author Affiliations

Zusammenfassung

Zielsetzung Die Digitalisierung erfasst inzwischen alle Bereiche der studentischen Lehre. Um die Studierenden im Erlernen praktischer Fertigkeiten zu unterstützen, sind Lehrvideos eine gute Methode. Für die Einordnung der jeweiligen Technik ist die vorhandene Evidenz eine anerkannte Hilfestellung.

Methode Das hier vorliegende Video stellt die üblichen Untersuchungstechniken des Schultergelenks an einen Patienten mit einer instabilen Schulter dar. Die jeweiligen Techniken wurden, wenn vorhanden, mit der jeweiligen Evidenz unterlegt.

Schlussfolgerung Die dargestellten Untersuchungstechniken ermöglichen es Studierenden, sich die Untersuchungstechniken standardisiert an einem Patienten anzuschauen. Die eingeblendete Evidenz für die Untersuchungstechniken kann hierbei eine Hilfestellung bei der Einordnung der jeweiligen Technik leisten.



Publication History

Article published online:
10 June 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References/Literatur

  • 1 Jang HW, Kim KJ. Use of online clinical videos for clinical skills training for medical students: benefits and challenges. BMC Med Educ 2014; 14: 56 DOI: 10.1186/1472-6920-14-56.
  • 2 Lenchus J, Issenberg SB, Murphy D. et al. A blended approach to invasive bedside procedural instruction. Med Teach 2011; 33: 116-123 DOI: 10.3109/0142159X.2010.509412.
  • 3 Friedrich MJ, Wirtz DC, Rößler PP. Klinische Basisuntersuchung der Schulter. Z Orthop Unfall 2018; 156: 449-451
  • 4 Farber AJ, Castillo R, Clough M. et al. Clinical assessment of three common tests for traumatic anterior shoulder instability. J Bone Joint Surg Am 2006; 88: 1467-1474 DOI: 10.2106/JBJS.E.00594.
  • 5 Tzannes A, Paxinos A, Callanan M. et al. An assessment of the interexaminer reliability of tests for shoulder instability. J Shoulder Elbow Surg 2004; 13: 18-23 DOI: 10.1016/j.jse.2003.09.002.
  • 6 Lo IK, Nonweiler B, Woolfrey M. et al. An evaluation of the apprehension, relocation, and surprise tests for anterior shoulder instability. Am J Sports Med 2004; 32: 301-307 DOI: 10.1177/0095399703258690.
  • 7 Kim S-H, Park J-S, Jeong W-K. et al. The Kim test: a novel test for posteroinferior labral lesion of the shoulder–a comparison to the jerk test. Am J Sports Med 2005; 33: 1188-1192
  • 8 Alqunaee M, Galvin R, Fahey T. Diagnostic accuracy of clinical tests for subacromial impingement syndrome: a systematic review and meta-analysis. Arch Phys Med Rehabil 2012; 93: 229-236 DOI: 10.1016/j.apmr.2011.08.035.
  • 9 [Anonym] Untersuchungstechniken des Schultergelenks. Obere Extremität 2012; 7: 1-67 DOI: 10.1007/s11678-012-0165-1.
  • 10 Noël E, Walch G, Bochu M. [Jobeʼs maneuver. Apropos of 227 cases]. Rev Rhum Mal Osteoartic 1989; 56: 803-804
  • 11 Nanda R, Gupta S, Kanapathipillai P. et al. An assessment of the inter examiner reliability of clinical tests for subacromial impingement and rotator cuff integrity. Eur J Orthop Surg Traumatol 2008; 18: 495-500
  • 12 Itoi E, Kido T, Sano A. et al. Which is more useful, the “full can test” or the “empty can test,” in detecting the torn supraspinatus tendon?. Am J Sports Med 1999; 27: 65-68 DOI: 10.1177/03635465990270011901.
  • 13 Castoldi F, Blonna D, Hertel R. External rotation lag sign revisited: accuracy for diagnosis of full thickness supraspinatus tear. J Shoulder Elbow Surg 2009; 18: 529-534
  • 14 Litaker D, Pioro M, El Bilbeisi H. et al. Returning to the bedside: using the history and physical examination to identify rotator cuff tears. J Am Geriatr Soc 2000; 48: 1633-1637 DOI: 10.1111/j.1532-5415.2000.tb03875.x.
  • 15 McFarland EG. Examination of the Shoulder. The complete Guide. New York: Thieme Medical Publishers; 2006: 142
  • 16 OʼBrien SJ, Pagnani MJ, Fealy S. et al. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med 1998; 26: 610-613
  • 17 Hegedus EJ, Goode A, Campbell S. et al. Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests. Br J Sports Med 2008; 42: 80-92 discussion 92 DOI: 10.1136/bjsm.2007.038406.
  • 18 Caliş M, Akgün K, Birtane M. et al. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis 2000; 59: 44-47 DOI: 10.1136/ard.59.1.44.
  • 19 Bak K, Sørensen AK, Jørgensen U. et al. The value of clinical tests in acute full-thickness tears of the supraspinatus tendon: does a subacromial lidocaine injection help in the clinical diagnosis? A prospective study. Arthroscopy 2010; 26: 734ø742 DOI: 10.1016/j.arthro.2009.11.005.
  • 20 Park HB, Yokota A, Gill HS. et al. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am 2005; 87: 1446-1455
  • 21 MacDonald PB, Clark P, Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elbow Surg 2000; 9: 299-301
  • 22 Silva L, Andréu JL, Muñoz P. et al. Accuracy of physical examination in subacromial impingement syndrome. Rheumatology (Oxford) 2008; 47: 679-683 DOI: 10.1093/rheumatology/ken101.
  • 23 Hooker RS, MacDonald K, Patterson R. Physician assistants in the Canadian Forces. Mil Med 2003; 168: 948-950
  • 24 Bartsch M, Greiner S, Haas NP. et al. Diagnostic values of clinical tests for subscapularis lesions. Knee Surg Sports Traumatol Arthrosc 2010; 18: 1712-1717 DOI: 10.1007/s00167-010-1109-1.
  • 25 Kappe T, Sgroi M, Reichel H. et al. Diagnostic performance of clinical tests for subscapularis tendon tears. Knee Surg Sports Traumatol Arthrosc 2018; 26: 176-181
  • 26 Barth JR, Burkhart SS, De Beer JF. The bear-hug test: a new and sensitive test for diagnosing a subscapularis tear. Arthroscopy 2006; 22: 1076-1084
  • 27 Yoon JP, Chung SW, Kim SH. et al. Diagnostic value of four clinical tests for the evaluation of subscapularis integrity. J Shoulder Elbow Surg 2013; 22: 1186-1192 DOI: 10.1016/j.jse.2012.12.002.
  • 28 Hertel R, Ballmer F, Lambert S. et al. Lag signs in the diagnosis of rotator cuff rupture. Journal of shoulder and elbow surgery 1996; 5: 307-313
  • 29 Gerber C, Krushell RJ. Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases. J Bone Joint Surg Br 1991; 73: 389-394
  • 30 Barth J, Audebert S, Toussaint B. et al. Diagnosis of subscapularis tendon tears: are available diagnostic tests pertinent for a positive diagnosis?. Orthop Traumatol Surg Res 2012; 98: S178-S185 DOI: 10.1016/j.otsr.2012.09.008.