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>
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Anatomy: Pain generating structures include the rotator cuff, subacromial bursa, labrum and biceps tendon.</p>
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http://www.ortho-md.com/images/proceduresImg/SHOULDER2.jpg</p>
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Testing: Neer and Hawking tests</p>
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https://www.youtube.com/watch?v=U8-yLHQ_JaM</p>
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https://www.youtube.com/watch?v=OYK5qL2om-c</p>
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Done indepedently, Hawkings is more sensitive, however best to combine both tests.</p>
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Imaging: not indicated</p>
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Tx: rest, ice, physical therapy (modalities), subacromial steroid injection</p>