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Shoulder Exam (8 of 9): Examination for impingement (rotator cuff)

https://www.youtube.com/watch?v=r8Rl0_KE3OA
8. Examination for impingement (rotator cuff)Dr. Mark Hutchinson's Knee, Shoulder and Hip/Groin Exam is a combined project of the University of British Colum

Shoulder Exam Tutorial - Stanford Medicine 25

https://stanfordmedicine25.stanford.edu/the25/shoulder.html
The examiner must support the arm of the patient at the level of the elbow so that the upper extremity can be as much relaxed as possible. Then the examiner has to internally rotate the shoulder while at the same time perform a cross-body adduction of the arm. The test is positive if pain is elicited.

Shoulder Exam - Shoulder & Elbow - Orthobullets

https://www.orthobullets.com/shoulder-and-elbow/3037/shoulder-exam
technique. abduct arm to 90°, angle forward 30° (bringing it into the scapular plane), and internally rotate (thumb pointing to floor). Then press down on arm while patient attempts to maintain position testing for weakness or pain. Drop Sign. tests for function/integrity of supraspinatus.

The Painful Shoulder: Part I. Clinical Evaluation | AAFP

https://www.aafp.org/pubs/afp/issues/2000/0515/p3079.html
Neer's impingement sign is elicited when the patient's rotator cuff tendons are pinched under the coracoacromial arch. The test 4 is performed by placing the arm in forced flexion with the arm

Shoulder Impingement (Rotator Cuff Tendinitis) - Cleveland Clinic

https://my.clevelandclinic.org/health/diseases/shoulder-impingement-rotator-cuff-tendinitis
Shoulder impingement happens when the top outer edge of your shoulder blade (scapula) pinches your rotator cuff beneath it. Healthcare providers sometimes also call it impingement syndrome or shoulder impingement syndrome. Impingement is the medical term for pinching or rubbing together inside a joint. It causes pain, especially when you move.

Shoulder Examination - OSCE Guide | Geeky Medics

https://geekymedics.com/shoulder-examination/
The scarf test assesses the function of the acromioclavicular joint. 1. Passively flex the shoulder joint to 90° and ask the patient to place the hand on the side you are examining on to the contralateral shoulder. 2. Apply resistance to the elbow in the direction of the contralateral shoulder.

Subacromial Impingement - Shoulder & Elbow - Orthobullets

https://www.orthobullets.com/shoulder-and-elbow/3041/subacromial-impingement
Summary. Subacromial impingement is the most common cause of shoulder pain which occurs as a result of compression of the rotator cuff muscles by superior structures (AC joint, acromion, CA ligament) leading to inflammation and development of bursitis. Diagnosis can be made on physical examination with a positive Neer and Hawkins tests, and can

Shoulder Impingement/Rotator Cuff Tendinitis - OrthoInfo - AAOS

https://orthoinfo.aaos.org/en/diseases--conditions/shoulder-impingementrotator-cuff-tendinitis/
The rotator cuff is a common cause of pain in the shoulder. Pain can happen because of: Tendinitis — inflammation of the rotator cuff tendons. Bursitis — inflammation of the bursa. Impingement — this happens because the space between the top of your shoulder (acromion) and the rotator cuff tendons becomes smaller when you raise your arm.

Management of Shoulder Impingement Syndrome and Rotator Cuff Tears - AAFP

https://www.aafp.org/pubs/afp/issues/1998/0215/p667.html
The rotator cuff is the dynamic stabilizer of the glenohumeral joint. The static stabilizers are the capsule and the labrum complex, including the glenohumeral ligaments. Although the rotator cuff

Subacromial (shoulder) impingement syndrome - UpToDate

https://www.uptodate.com/contents/subacromial-shoulder-impingement-syndrome
Subacromial impingement syndrome (SIS; commonly referred to as shoulder impingement) refers to a combination of shoulder symptoms, examination findings, and radiologic signs attributable to the compression of structures around the glenohumeral joint that occurs with shoulder elevation. Such compression causes persistent pain and dysfunction.

Rotator Cuff Disease: Diagnostic Tests | AAFP

https://www.aafp.org/pubs/afp/issues/2016/1201/p925.html
A meta-analysis of five diagnostic cohort studies (432 men and women, 442 shoulders) evaluated physical examination tests for rotator cuff disease. 1 Patients had a mean age of 44 to 58 years and

Rotator Cuff Injury Clinical Presentation - Medscape

https://emedicine.medscape.com/article/92814-clinical
Pain, weakness, and loss of shoulder motion are common symptoms reported with rotator cuff pathology. Pain is often felt over the anterolateral part of the shoulder and is exacerbated by overhead activities. Night pain is a frequent symptom, especially when the patient lies on the affected shoulder. Symptoms may be relatively acute, either

Shoulder Impingement Test: Physical Exams That Help ... - Healthline

https://www.healthline.com/health/sprains-and-strains/shoulder-impingement-test
Shoulder impingement is a painful condition. It happens when the tendons and soft tissues around your shoulder joint become trapped between the top of your upper arm bone (the humerus) and the

Clinical Examination of the Shoulder | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMvcm1212941
Have the patient flex the elbow to 90 degrees. Elevate the patient's shoulder to a 90-degree, forward-flexed position and then internally rotate the arm. Pain with this maneuver may indicate

Yocum's Test - Physiopedia

https://www.physio-pedia.com/Yocum's_Test
The Yocum's Test is used to examine the possibility of a shoulder rotator cuff impingement (subacromial impingement syndrome). It is also referred to as the Yocum Maneuvre. Technique [edit | edit source] During the Yocum Test / Manoeuvre, the arm is forced to ADDuction and the elbow is flexed until the hand is over the contralateral shoulder.

Shoulder Special Tests - Physiopedia

https://www.physio-pedia.com/Shoulder_Special_Tests
Traditionally Orthopaedic Special tests were used to assist in the diagnostic process by implicating specific tissue structures that are either dysfunctional, pathological, or lack structural integrity, confirming the findings from the physical assessment and providing a tentative diagnosis. [1] Special testing is generally performed following

Mastering the Shoulder Exam: Top Tests for Rotator Cuff & Impingement

https://chiroup.com/blog/mastering-the-shoulder-exam-top-tests-for-rotator-cuff-impingement
Studies suggest that rotator cuff disorders are likely responsible for up to 65-85% of all painful shoulder presentations. (1,6,7) The following section highlights the essentials of a rotator cuff exam, including how to test for shoulder impingement, an underlying culprit for up to 95% of all chronic rotator cuff tears. (8) Shoulder Impingement

Physical examination of the shoulder - UpToDate

https://www.uptodate.com/contents/13814#!
The evaluation of patients with shoulder dysfunction or pain can be difficult. Skillful examination of the shoulder is an integral part of this evaluation and is necessary to generate an appropriate differential diagnosis and to help determine whether advanced imaging is needed. The large number of shoulder examination techniques, often named

Shoulder Examination - Physiopedia

https://www.physio-pedia.com/Shoulder_Examination
Night pain (lying on affected shoulder): rotator cuff pathology, anterior shoulder instability, ACJ injury, neoplasm (particularly unremitting) Sensation of 'clicking or clunking': labral pathology, unstable shoulder (either anterior or multidirectional instability) ... Shoulder Exam (8 of 9): Examination for impingement (rotator cuff).

Special Tests for the Shoulder Exam - Sports Medicine Review

https://www.sportsmedreview.com/blog/special-tests-for-the-shoulder-exam/
Empty Can Test. Patient can be seated or standing. Arm raised/ or abducted to 90 degrees and arms 30-45 degrees from midline. Shoulder internally rotated, thumbs pointed to floor. Physician applies downward force at the wrist/forearm while the patient resists. A positive test is pain or weakness. Drop Arm Test.

3 differences between shoulder impingement and rotator cuff injuries

https://spectrum.physio/3-differences-between-shoulder-impingement-and-rotator-cuff-injuries/
Rotator cuff injuries do have some crossover in causes with shoulder impingement (the repetitive movements or poor posture), but there are also some causes that are more likely to be exclusive to rotator cuff injuries. A rotator cuff injury can be caused by a heavy fall or overloading the joint by lifting something really heavy. In some cases

Test Item Cluster - Full-Thickness Rotator Cuff Tear

https://www.physio-pedia.com/Test_Item_Cluster_-_Full-Thickness_Rotator_Cuff_Tear
Purpose [edit | edit source]. To test the presence of a shoulder full-thickness rotator cuff tear using the Drop-Arm Sign, Painful Arc Sign, and the Infraspinatus Muscle Test.. Evidence [edit | edit source]. Based on the Park et al study, the combination of the following 3 special tests have produced the highest post-test probability to diagnose a full-thickness rotator cuff tear:

Diagnosing Rotator Cuff Tears | AAFP

https://www.aafp.org/pubs/afp/issues/2005/0415/p1587.html
The probability of rotator cuff tear was high (98 percent) in patients of any age with all three findings or in patients with any two findings who were at least 60 years of age. The probability

Double Row Rotator Cuff Repair for Massive Reparable Rotator Cuff Tear

https://journals.sagepub.com/doi/10.1177/26350254241229101
Rotator cuff tears can alter shoulder mechanics. The shoulder can maintain a stable fulcrum of motion only when there are balanced moments in both the coronal and transverse planes. If there is a massive tear, then active motion is lost due to a lack of a stable fulcrum. 8 Also, the deltoid moment is no longer balanced, and this can lead to a

9 must-have products and tips for easier rotator cuff surgery prep and

https://the-gadgeteer.com/2024/06/25/9-must-have-products-and-tips-for-easier-rotator-cuff-surgery-prep-and-recovery/
Rotator cuff surgery is a common procedure to repair torn tendons in the shoulder. This surgery is a big deal for the person with the injury and the person who will provide support and care post-op.