Subacromial Impingement Flashcards
1
Q
What causes subacromial impingement?
A
Anything that narrows the subacromial space
2
Q
What are examples of things that narrow the subacromial space?
A
OA of the acromion process
Fluid
3
Q
What is trapped in subacromial impingement?
A
The supraspinatous tendon and bursa
4
Q
Who is affected by subacromial impingement?
A
Swimmers
5
Q
Clinical findings?
A
Painful arc between 90 - 120 degrees
6
Q
What’s a clinical test that can be done?
A
Hawkins test
7
Q
What is a ddx for a positive hawkins test?
A
Subacromial impingement
Rotator cuff tendonitis
8
Q
What is hawkins test?
A
Patient elevates arm to 90 degrees and flexes elbow at 90 degrees
Examiner quickly internally rotates arm
Causes pain in subacromial space
9
Q
What is the management?
A
Subacromial steroid
Physio
Surgery final line = subacromial decompression
