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Clinical Assessment of Common Tests for Traumatic Injury or Pathologic Change of Shoulder Joint

To assess the clinical usefulness of various physical examination tests as tools for the diagnosis, tests were performed during the physical examination to make a diagnosis of traumatic injury or pathologic change of shoulder joint and prospectively entered into a database at the Division of Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, Johns Hopkins University, and then was evaluated with statistical methods to determine the clinical value (overall accuracy, sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratios, and the post-test probabilities).

Awards and Recognition  

  • Top 20 Scientific Exhibits Award of the American Academy of Orthopaedic Surgeons (AAOS), 2009 


Peer Reviewed Journal Publications

* Corresponding author

  1. Tan EW, Ting BL, Jia X, Skolasky RL, McFarland EG. Diagnostic errors in orthopaedic surgery: evaluation of resident documentation of neurovascular examinations for orthopaedic trauma patients. Am J Med Qual 2013 Jan;28(1):60-8. doi: 10.1177/1062860612447856. Epub 2012 Jul 13. PMID: 22798636
  2. Dewan AK, Garzon-Muvdi J, Petersen SA, Jia X, McFarland EG. Intraarticular Abnormalities in Overhead Athletes Are Variable. Clin Orthop Relat Res 2012 Jun;470(6):1552-7 Epub 2011 Nov 18 PMID: 22095131
  3. Jia X, Yokota A, McCarty EC, Nicholson GP, Weber SC, McMahon PJ, Dunn WR, McFarland EG. Reproducibility and Reliability of the Snyder Classification of Superior Labral Anterior Posterior Lesions Among Shoulder Surgeons. Am J Sports Med 2011 May;39(5):986-91. Epub 2011 Feb 1 PMID: 21285446
  4. Jia X, Ji JH, Pannirselyam VK, Petersen S, McFarland EG. Does a Positive Neer Impingement Sign Reflect Rotator Cuff Contact with the Acromion? Clin Orthop Relat Res, 2011 Mar;469(3):813-8. Epub 2010 Sep 28 PMID: 20878281
  5. McFarland EG, Garzon-Muvdi J, Jia X, Desai P, Petersen SA. Clinical and Diagnostic Tests for Shoulder Disorders: A Critical Review. British Journal of Sports Medicine 2010;44(5):328-3320 Epub 2009 Dec 2. PMID: 19955165
  6. Jia X, Petersen S, Khosravi AH, Almareddi V, Pannirselvam V, McFarland EG. Examination of the Shoulder: the Past, the Present, and the Future. The Journal of Bone and Joint Surgery (AM)  2009 91(Suppl 6):10-18 PMID: 19884407
  7. McFarland EG, Tanaka MJ, Garzon-Muvdi J, Jia X, Petersen S. Clinical and imaging assessment for superior labrum anterior and posterior lesions. Curr Sports Med Rep. 2009 Sep-Oct;8(5):234-9 PMID: 19741350
  8. Jia X, Ji JH, Petersen S, Freehill MT, McFarland EG. An Analysis of Shoulder Laxity in Patients Undergoing Shoulder Surgery. The Journal of Bone and Joint Surgery (AM) 2009 Sep;91(9):2144-50 PMID: 19723991
  9. Jia X, Ji JH, Petersen S, Keefer J, McFarland EG. Clinical Evaluation of the Shoulder Shrug Sign. Clin Orthop Relat Res,  2008 Nov;466(11):2813-9 PMID: 18543050
  10. McFarland EG, Srikumaran U, Petersen SA, Jia X and Fayad LM. How to make sense of shoulder MRI: determining when to treat and when to refer. J Musculoskelet Med 2007 24(12):500-506

Book Chapters

  1. McFarland EG, Petersen SA, Ji JH, Jia X and Krabak BJ. EVALUATION OF THE SHOULDER. In Nagler W, Singh R (eds): Shoulder Disorders: A Pocket Guide to Diagnosis and Treatment. Totowa (NJ): Humana Press, 2009 In Press.

Platform Presentations

  1. An Analysis of Shoulder Laxity in Patients Undergoing Shoulder Surgery. 2009 American Shoulder and Elbow Surgeons Specialty Day Meeting, February 28, 2009, Las Vegas, Nevada