Subacromial Impingement Syndrome

Question 1

Primary impingement

Answer 1

mechanical structures
decreased space
imbalance of deltoid and RC muscles

Question 2

Secondary Impingement

Answer 2

Instability of GH joint

scapular dyskinesia

Question 3

Internal Impingement

Answer 3

Throwing sports

at or beyond 90 degrees abd/er

Question 4

Common patient complaints for primary impingement?

Answer 4

pain at night
stiff
overhead activities
pain over deltoid or lateral arm

Question 5

Test item cluster for impingement?

Answer 5

Hawkins kennedy
Infraspinatus muscle test
Painful arc

Question 6

Special tests

Answer 6

Neer
Empty can
ER resistance
(plus hawkins kennedy and painful arc) Need 3/5

Question 7

Patient findings for secondary impingement?

Answer 7

Young
laxity
overhead activities
scapular dyskinesis and weakness

Question 8

Patient findings for internal impingement?

Answer 8

athlete
posterior side!
overhead/throwing activities
(+) posterior impingement and instability tests

Question 9

Test item cluster for rotator cuff tear

Answer 9

infraspinatus muscle test
drop arm test
painful arc