Signs and Evidence

Making clinical sense of scientific data


Beware of the limitations of this tool

Rotator cuff injury

Calculated pretest probability: 22.1 %
Relevant inclusion criteria: All adults 

Clinical signs

1Painful arc
2Full can test
3Hawkins test
4Drop arm test
5Empty can test

To further investigations

Sources used:

1.Hermans J et al. Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review. JAMA. 2013 Aug 28;310(8):837-47
2.Penning L et al. Empty can and drop arm tests for cuff rupture: Improved specificity after subacromial injection. Acta Orthop. Belg., 2016, 82, 166-173
3.Zlatkin MB et al. Rotator cuff tears: diagnostic performance of MR imaging. Radiology. 1989 Jul;172(1):223-9
4.Patten RM et al. Diagnostic performance of magnetic resonance imaging for the diagnosis of rotator cuff tears using supplemental images in the oblique sagittal plane. Invest Radiol. 1994 Jan;29(1):87-93
5.Wnorowski DC et al. Magnetic resonance imaging assessment of the rotator cuff: Is it really accurate? Arthroscopy: The Journal of Arthroscopic & Related Surgery Volume 13, Issue 6, December 1997, Pages 710-719
6.Minagawa H et al. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. J Orthop. 2013 Mar; 10(1): 8–12