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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Shoulder Instability
Catherine P. Kaminetzky, David L. Simel, Jolanda J. Luime
Make the Diagnosis: Shoulder Instability


Topics Discussed: criterion standard comparisons (diagnostic tests), likelihood ratio, make the diagnosis, prior probability, shoulder dislocations, shoulder instability

Excerpt: "There are no adequate data for assessing the prevalence of these conditions among patients with shoulder discomfort because the existing data come only from patients undergoing surgery or arthroscopy. The incidence of shoulder discomfort is 0.9% to 2.5%. However, because shoulder pain can be chronic, the prevalence at a single point in time is 6.9% to 26%...."
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