No tests for impingement or acromioclavicular ( AC ) joint pathology demonstrated significant diagnostic accuracy .
Based on pooled data , the diagnostic accuracy of the Neer test for impingement , the Hawkins-Kennedy test for impingement and the Speed test for labral pathology is limited .
Currently , almost without exception , there is a lack of clarity with regard to whether common OSTs used in clinical examination are useful in differentially diagnosing pathologies of the shoulder
OBJECTIVE To compile and critique research on the diagnostic accuracy of individual  orthopaedic physical examination tests in a manner that would allow clinicians to judge whether these tests are valuable to their practice .
Transdeltoid palpation (the rent test) in the diagnosis of rotator cuff tears.
The purpose of this study was to assess the diagnostic accuracy of  transdeltoid palpation ( the rent test ) for the diagnosis of full thickness rotator cuff tear . Clinical and arthroscopic findings were documented prospect ively for 109 consecutive patients undergoing shoulder arthroscopy by the senior author . A retrospective analysis was then performed on these data to assess the accuracy of transdeltoid palpation in the diagnosis of full thickness rotator cuff tear . Transdeltoid palpation was found to have a sensitivity of 95.7 % and specificity of 96.8 % for the diagnosis of full thickness rotator cuff tear . The positive and negative predictive values for  transdeltoid palpation  were 95.7 % and 96.8 % , respectively . Overall , the diagnostic accuracy of  transdeltoid palpation  was 96.3 % . We conclude that transdeltoid palpation is highly accurate for the clinical diagnosis of full thickness rotator cuff tear
No tests for impingement or acromioclavicular ( AC ) joint pathology demonstrated significant diagnostic accuracy .
Based on pooled data , the diagnostic accuracy of the Neer test for impingement , the Hawkins-Kennedy test for impingement and the Speed test for labral pathology is limited .
Currently , almost without exception , there is a lack of clarity with regard to whether common OSTs used in clinical examination are useful in differentially diagnosing pathologies of the shoulder
OBJECTIVE To compile and critique research on the diagnostic accuracy of individual  orthopaedic physical examination tests in a manner that would allow clinicians to judge whether these tests are valuable to their practice .