Studies	Shoulders	Cases	Summary sensitivity (95% CI)	Summary specificity (95% CI)	LR+	LR–
Any rotator cuff tears
All studies	13	854	626	91 (83, 95)	85 (74, 92)	6 (3, 12)	0.11 (0.05, 0.22)
Acceptable reference standard	5	400	291	94 (88, 97)	91 (82, 95)	10 (5, 22)	0.06 (0.03, 0.14)
Index test results blinded	9	468	348	91 (78, 97)	81 (70, 88)	5 (2, 10)	0.11 (0.04, 0.31)
Full thickness tears
All studies	10	729	386	92 (82, 96)	93 (81, 97)	12 (5, 34)	0.09 (0.04, 0.20)
Acceptable reference standard	6	421	227	95 (86, 98)	91 (85, 95)	11 (6, 20)	0.06 (0.02, 0.16)
Index test results blinded	7	391	201	87 (76, 93)	92 (81, 97)	11 (5, 26)	0.14 (0.08, 0.26)
Partial tears
All studies	8	660	121	52 (33, 70)	93 (85, 97)	8 (3, 19)	0.52 (0.33, 0.80)
Acceptable reference standard	4	352	56	62 (45, 77)	95 (87, 98)	12 (5, 31)	0.40 (0.26, 0.61)
Index test results blinded	5	322	71	56 (32, 77)	87 (78, 93)	4 (2, 9)	0.51 (0.28, 0.93)