The methodological quality of each of the studies was appraised using the QUADAS tool. 1. Positive predictive value (PPV) and negative predictive value (NPV) are best thought of as the clinical relevance of a test.. Sensitivity, Specificity. Background. The sensitivity for Cozen’s test, Maudsley test and Mills test was found to be 84%, 88% and 53% respectively. INTRODUCTION. Medial epicondylitis, or “golfer’s elbow,” is a pathology commonly encountered by orthopaedic surgeons. The hook test Sensitivity ranged from 85% to 78% and specificity from 80% to 90%. Lateral epicondylitis, or tennis elbow, is a common cause of elbow pain in the general population. Though lateral and medial epicondylitis both remain clinical diagnoses, imaging is oftentimes included in the diagnostic workup of patients with either lateral or medial elbow pain. SnOut and SpIN. evaluate concomitant pathology (e.g. Test for lateral epicondylitis. Reliability. The interexaminer repeatability of isometric and palpation tests has been moderate in the general population, with a k coefficient of 0.52–0.64 . The assessment of the clinical tests was done even in relation to medial or lateral meniscal lesion. Sensitivity helps us RULE OUT a disease (SnOut) [2] Likelihood Ratio +/- Mill’s Test. Sep 15, 2018. UCL injury in overhead thrower) unclear source of medial elbow pain; evaluate for loose bodies Test for lateral epicondylitis. Sensitivity, specificity, disease prevalence, positive and negative predictive value as well as accuracy are expressed as percentages. The significant difference is that PPV and NPV use the prevalence of a condition to determine the likelihood of a test diagnosing that specific disease. medical medial epicondylitis and 25 elbows with out medial epicondylitis were. The specificity for Cozen’s Maudsley and Mills test was found to be 0%, 0% and 100% respectively. Test specificity represents the likelihood that a person without a disease will have a negative test result [1], [2]. A positive sign would be pain or discomfort in the region of the lateral epicondyle . Tendinosis was observed in 15 elbows, and a partial-thickness tear, including 1 intrasubstance tear, was detected in 5 elbows. investigated the use of ultrasound versus MRI for the diagnosis of both lateral and medial epicondylitis. Data for individual antigen tests were limited with no more than two studies for any test. Medial epicondylitis (also known as golfer's elbow ) is an angiofibroblastic tendinosis of the common flexor- pronator tendon group of the elbow. The most common ultrasonographic abnormality was a … standard of care; indications. The specificity of the test was recorded as 99.68% - the overall false positive rate was 0.32%, although this was lowered to 0.06% in a lab setting. We often think of sensitivity and specificity as being ways to indicate the accuracy of the test or measure. Test specificity is represented as a percentage. The moving valgus stress test has a 100% sensitivity and a 75% specificity for diagnosing UCL injuries (Table 2 3, 7, 8, 11, 13 – 17). For total distal biceps rupture seven different tests were described in six studies.23–26 28 These tests showed sensitivity ranging from 81% to 100% and specificity ranging from not applicable to 100%. In the original study, using magnetic resonance imaging as the reference test, the Thessaly test was found to have a sensitivity of 89% for the medial meniscus and 92% for the lateral meniscus. In comparison Mills test had an average sensitivity of 53% but excellent specificity of 100%. Specificity: probability that a test result will be negative when the disease is not present (true negative rate). Medial epicondylitis is the most common cause of medial elbow pain but is only 15% to 20% as common as lateral epicondylitis. Sensitivity, Specificity. For antigen tests, sensitivity varied from 0% to 94%; the average sensitivity was 56.2% (95% CI 29.5 to 79.8%) and average specificity was 99.5% (95% CI 98.1% to 99.9%. We used the isometric test in the criteria for definite diagnosis and the palpation test for possible diagnosis. Mills test showed significant area under receiver operator curve (ROC) i.e. In the clinical setting, screening is used to decide which patients are more likely to have a condition. A positive test would be the reproduction of pain near the lateral epicondyle. It is obtained by performing the test on people without a specific disease for which the test is intended [1], [2]. The sensitivity and specificity of a quantitative test are dependent on the cut-off value above or below which the test is positive. 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