Når vi holder fagdagen vår "The Sexy Shoulder" pleier vi å stille deltakerne et spørsmål; "Hvor mange her inne har stått bak en pasient og lurt på, hva i all verden betyr denne testen?". Som regel kommer alle hendene i været, hvilket er beskrivende for den usikkerheten vi alle står i når vi skal tolke funn. For skulderen alene er det beskrevet over 200 kliniske tester for ulike tilstander. Felles for de fleste er at de har høy sensitivitet og lav spesifisitet. Dette vil si, enkelt forklart, at vi kan provosere frem symptomer, men i svært liten grad være sikre på hvilke strukturer symptomene kommer fra. Så hva utgjør da en god klinisk test? Hvilken verdi har den? Trenger vi dem i det hele tatt, eller skal vi bruke tiden vår på noe annet enn omfattende testbatterier?Caneiro, J.P., et al.: It is time to move beyond 'body region silos' to manage musculoskeletal pain: five actions to change clinical practice. Br J Sports Med, 2019.Decary, S., et al.: Diagnostic validity of physical examination tests for common knee disorders: An overview of systematic reviews and meta-analysis. Phys Ther Sport, 2017. 23: p. 143-155.Fu, M.C., et al.: Interrater and intrarater agreements of magnetic resonance imaging findings in the lumbar spine: significant variability across degenerative conditions. Spine J, 2014. 14(10): p. 2442-8.Girish, G., et al.: Ultrasound of the shoulder: asymptomatic findings in men. AJR Am J Roentgenol, 2011. 197(4): p. W713-9.Hegedus, E.J., et al.: Combining orthopedic special tests to improve diagnosis of shoulder pathology. Phys Ther Sport, 2015. 16(2): p. 87-92.Hegedus, E.J., et al.: Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests. Br J Sports Med, 2008. 42(2): p. 80-92; discussion 92.Hegedus, E.J., et al.: Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. Br J Sports Med, 2012. 46(14): p. 964-78.Hegedus, E.J., et al.: Orthopaedic special tests and diagnostic accuracy studies: house wine served in very cheap containers. British Journal of Sports Medicine, 2017.Herzog, R., et al.: Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Spine J, 2016.O'Brien, S.J., 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(5): p. 610-3.Reiman, M.P., et al.: Diagnostic accuracy of clinical tests of the hip: a systematic review with meta-analysis. Br J Sports Med, 2013. 47(14): p. 893-902.https://jevnehelse.no/2020/03/05/hva-er-en-god-test/Musikk: Joseph McDade-Mirrors

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