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Table 1 Summary of previous studies investigating the diagnostic accuracy of clinical tests for acromioclavicular joint pain and pathology

From: Shoulder pain in primary care: diagnostic accuracy of clinical examination tests for non-traumatic acromioclavicular joint pain

Test

Author and Year

Recruitment

Sensitivity

Specificity

LR+

LR-

QUADAS Scorea

Active Compression/O’Brien’s test

O’Brien et al. 1998[15]

Orthopaedic hospital

93

96

23.1

0.08

5

 

Walton et al. 2004[13]

Specialist shoulder referral centre

16

90

1.6

0.93

13

 

Chronopoulos et al. 2004[14]

Orthopaedic surgical waiting list

41

95

8.2

0.62

10

 

Van Riet & Bell 2011[16]

Orthopaedic hospital

83

N/A

N/A

  

Cross-body adduction

Chronopoulos et al. 2004[14]

Orthopaedic surgical waiting list

77

79

3.67

0.29

10

 

Van Riet & Bell 2011[16]

Orthopaedic hospital

67

N/A

N/A

N/R

 

Localised ACJ tenderness

Walton et al. 2004[13]

Specialist shoulder referral centre

96

10

1.07

0.40

13

Hawkins Kennedy test

Chronopoulos et al. 2004[14]

Orthopaedic surgical waiting list

47

45

0.85

1.2

10

  1. Abbreviations: LR+, positive likelihood ratio; LR-, negative likelihood ratio; QUADAS, Quality Assessment of Diagnostic Accuracy Studies tool[45]; N/A, not applicable; N/R, not reported; ACJ, acromioclavicular joint.
  2. aFrom Hegedus et al. (2008)[30].