Document Detail

Endofibrosis in athletes: is a simple bedside exercise helpful or sufficient for the diagnosis?
MedLine Citation:
PMID:  19638821     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Ankle-to-brachial index (ABI) can be easily performed by all physicians. The Ruffier-Dickson (RD) test is an easy procedure to attain moderate exercise at the bedside for physicians who do not have an ergometer. DESIGN: Retrospective analysis. SETTING: Tertiary care, institutional practice. PATIENTS: Fifty-three asymptomatic athletes and 22 patients suffering from unilateral pain due to histologically proven exercise-induced arterial endofibrosis (EIAE). INTERVENTION: Brachial and ankle systolic blood pressures were measured in the supine position on the suspected leg in EIAE or left leg in controls, at rest (rest) and at the first minute of the recovery from incremental maximal cycle ergometer exercise (maxCE) and Ruffier-Dickson (RD) exercise tests. MAIN OUTCOME MEASURES: Comparison of ABI(rest), ABI(maxCE), and ABI(RD) in discriminating patients from normal subjects, using receiver operating characteristics (ROC) curves. RESULTS: Area (+/-SE of area) of ROC curve was 0.76 +/- 0.06 for ABI(rest), 0.83 +/- 0.05 for ABI(RD) (nonsignificant from rest), and 0.99 +/- 0.01 for ABI(maxCE) (P < 0.01 from ABI(RD) and P < 0.001 from ABI(rest)). An ABI(maxCE) below 0.48 was 100% specific and 80% sensitive for EIAE. For the RD test, a 100% negative predictive value was only attained for postexercise ABI values higher than 0.92. CONCLUSION: ABI after maximal cycle ergometer exercise is more accurate than ABI after an RD test to search for unilateral EIAE in athletes.
Antoine Bruneau; Alexis Le Faucheur; Guillaume Mahe; Bruno Vielle; Georges Leftheriotis; Pierre Abraham
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine     Volume:  19     ISSN:  1536-3724     ISO Abbreviation:  Clin J Sport Med     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-29     Completed Date:  2009-11-17     Revised Date:  2009-12-21    
Medline Journal Info:
Nlm Unique ID:  9103300     Medline TA:  Clin J Sport Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  282-6     Citation Subset:  IM    
CNRS 6214-INSERM 771, Faculty of Medicine, University of Angers, Angers, France.
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MeSH Terms
Ankle / blood supply*
Arterial Occlusive Diseases / diagnosis*,  pathology
Athletic Injuries / diagnosis*
Blood Pressure Determination / methods*
Brachial Artery / physiopathology
Exercise / physiology*
Middle Aged
Point-of-Care Systems / standards*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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