We need you! See something you could improve? Make an edit and help improve WikSM for everyone.
Tuning Fork Test
From WikiSM
Other Names
Demonstration of the tuning fork test on the medial tibia[1]
- Fork Test
- Tuning Fork Test
Purpose
- Detect source of pain, considering stress fracture
Description
- Patient is seated or supine
- The examiner places an actively vibrating tuning fork (typically 128 hertz) on the suspected injury
- Positive test
- Reproduction or worsening of patients pain
Pathology
Evidence
Stress Fracture in General
- Schneiders et al[2]
- Sensitivity: 35-92%
- Specificity: 19-83%
- LR+: 0.6 to 3.0
- LR-: 0.4 to 1.6
- PPD: 88%
- NPD: 46%
- Rosenthal et al[1]
- Sensitivity: 5.7%
- Specificity: 90.6%
- PPV: 40.6%
- NPV: 46.8%
- PLR: 0.61
- NLR: 1.04
- Overall Accuracy: 46%
See Also
References
- ↑ 1.0 1.1 Rosenthal, Michael D., Mitchell J. Rauh, and James E. Cowan. "Prospective Assessment of Clinical Tests Used to Evaluate Tibial Stress Fracture." Orthopaedic Journal of Sports Medicine 10.9 (2022): 23259671221122356.
- ↑ Schneiders AG, Sullivan SJ, Hendrick PA, Hones BD, McMaster AR, Sugden BA, Tomlinson C. The ability of clinical tests to diagnose stress fractures: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2012 Sep;42(9):760-71. doi: 10.2519/jospt.2012.4000. Epub 2012 Jul 19.