Shoulder impingement Flashcards
(5 cards)
1
Q
What is shoulder impingement?
A
- Clinical sign rather thean a diagnosis
- Exact pathology is unclear
- Begins with an overuse injury with tendinopathy of supraspinatus
- Umbrella term ‘subacromial pain syndrome’
2
Q
Diagnosis associated with RC impingement
A
- Subacromial bone spurs
- RC disease
- Superior labral injury
- Glenohumeral internal rotation deficit
- Biceps tendinothapy
- Cervical radiculopathy
3
Q
Common causes
A
- Pain transmission from tendinopathy can cause increased nerve density of the tendon
4
Q
Signs and symptoms
A
- Pain transmission is usually gradual
- Anterior, lateral or posterior shoulder pain
- Painful arc between 70-120 degrees
- Tenderness over insertion of supraspinatus
- Posterior capsule tightness
- Excessive tightness of pectoralis minor
5
Q
Special tests
A
- Painful arc
- Empty can
- Speed’s test
- Neer’s test
- Hawkins Kennedy
- Apley’s scratch test
