To the Editor The Rational Clinical Examination meta-analysis by Dr Hermans and colleagues1 on rotator cuff disease (RCD) was published at the same time as a Cochrane review2 concerning physical tests for shoulder disorders, including RCD. Although the authors of both reviews agreed on the inapplicability of results to a primary care or nonreferred population, they came to opposite conclusions.
Descatha A, Godeau D, Mediouni Z. Physical Tests for Shoulder Disorders. JAMA. 2014;311(1):94. doi:10.1001/jama.2013.283136