Title: Subacromial impingement<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
        Sx: pain to lateral arm, worse with overhead activity and sleeping/lying on arm</p>
<p>
        Anatomy: Pain generating structures include the rotator cuff, subacromial bursa, labrum and biceps tendon.</p>
<p>
        http://www.ortho-md.com/images/proceduresImg/SHOULDER2.jpg</p>
<p>
        Testing: Neer and Hawking tests</p>
<p>
        https://www.youtube.com/watch?v=U8-yLHQ_JaM</p>
<p>
        https://www.youtube.com/watch?v=OYK5qL2om-c</p>
<p>
        Done indepedently, Hawkings is more sensitive, however best to combine both tests.</p>
<p>
        Imaging: not indicated</p>
<p>
        Tx: rest, ice, physical therapy (modalities), subacromial steroid injection</p>