Shoulder 1

Question 1

Neer Impingement Stage 1

Answer 1

• Edema and hemorrhage
• Younger age
• From mechanical irritation
• +impingement sign, painful arc, weakness

Question 2

Neer Impingement Stage II

Answer 2

• Fibrosis and tendonitis (25-40 years old)

- Thickening and fibrosis of subacromial bursa

Question 3

Neer Impingement Stage III

Answer 3

• Age over 40
• Bone spurs
• Tendon tears/ruptures

Question 4

AC joint injury: Type I

Answer 4

• Sprain of AC ligament without tearing

- Acute managed conservatively

Question 5

AC joint injury: Type II

Answer 5

• AC ligaments and capsule rupture without coracoclavicular injury
• May have 50% subluxation of clavicle
• Acute managed conservatively

Question 6

AC joint injury: Type III

Answer 6

• Complete AC and CC rupture
• Step off deformity
• Acute usually managed conservatively

Question 7

AC joint injury: Type IV-VI

Answer 7

-Complete AC and CC rupture with varying degrees of soft tissue trauma