title: CLINICAL DIAGNOSIS OF SUBSCAPULARIS TENDON TEAR USING THE BEAR HUG SEMIOLOGICAL MANEUVER.
abstract: OBJECTIVE
  To evaluate the Bear Hug maneuver for clinically diagnosing subscapularis tendon tears, and compare this with other maneuvers described previously (Lift-off, Napoleon and Belly Press).
  
  
  METHODS
  Forty-nine patients with rotator cuff injuries who had undergone arthroscopy to repair the injury and had previously been assessed using the semiological maneuvers mentioned above were evaluated.
  
  
  RESULTS
  The diagnostic values obtained for the Bear Hug test were as follows: sensitivity 75%, specificity 56%, positive predictive value 62%, negative predictive value 70% and accuracy 65%.
  
  
  CONCLUSIONS
  The highest sensitivity and negative predictive value values were obtained with the Bear Hug test. The highest specificity value was seen with the Lift-off test. The Belly press test gave the greatest specificity, positive predictive and accuracy values.
authors.affiliation: Master's Student in the School of Medicine, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil; Orthopedist in the National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil.
authors.forename: Márcio
authors.initials: M
authors.lastname: Schiefer
authors.affiliation: Orthopedist; Trainee in the Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, RJ, Brazil.
authors.forename: Yonder Archanjo Ching-San
authors.initials: YA
authors.lastname: Júnior
authors.affiliation: Resident Physician (R2) in Orthopedics and Traumatology at HUCFF, UFRJ.
authors.forename: Sérgio Maurício
authors.initials: SM
authors.lastname: Silva
authors.affiliation: Head of Clinical Medicine and Coordinator of the Medical Residence Program, Orthopedics and Traumatology Clinic, HUCFF, UFRJ, Rio de Janeiro, RJ, Brazil.
authors.forename: César
authors.initials: C
authors.lastname: Fontenelle
authors.affiliation: Orthopedist; Titular Member of the Brazilian Society of Orthopedics, São Paulo, SP, Brazil.
authors.forename: Marcos Genúncio
authors.initials: MG
authors.lastname: Dias Carvalho
authors.affiliation: Resident Physician (R3) in Orthopedics and Traumatology at HUCFF, UFRJ, Rio de Janeiro, RJ, Brazil.
authors.forename: Fabio Garcia
authors.initials: FG
authors.lastname: de Faria
authors.affiliation: PhD. Associate Professor and Head of the Department of Orthopedics and Traumatology, UFRJ, Rio de Janeiro, RJ, Brazil.
authors.forename: José Sérgio
authors.initials: JS
authors.lastname: Franco
keywords: Arthroscopy; Rotator Cuff; Shoulder; Tendon Injuries