impingement syndrome

Question 1

impingement syndrome is also known as

Answer 1

painful arc

Question 2

defintion

Answer 2

syndrome where the the supraspinatus tendon is compressed in the tight subacromial space during movement producing pain

Question 3

painful arc definition

Answer 3

pain between around 60-120 degrees of abduction as the inflamed area of the supraspinatus tendon passes through the subacromial space

Question 4

causes of impingement syndrome

Answer 4

• tendonitis
• subacromial bursitis
• acromioclavicular osteoarthritis with inferior osteophyte
• a hooked acromion

Question 5

where does the pain in impingement syndrome classically radiate

Answer 5

to the deltoid muscles and upper arm, tenderness may be felt below the lateral edge of the acromion

Question 6

test for impingement syndrome

Answer 6

• HAWKINS-KENNEDY test where internally rotating the flexed shoulder causes pain
• jobes test
• scarf test

Question 7

1st line management

Answer 7

conservative with NSAIDS, physiotherapy and analgesia and subacromial injection of steroids

Question 8

how many subacromial injections of steroids can be used

Answer 8

up to 3

Question 9

2nd line management

Answer 9

subacromial decompression surgery reading more space for the supraspinatus tendon to pass through