Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • shoulder pain
  • shoulder weakness
  • loss of active ROM
  • pain and weakness on external rotation test
  • pain and weakness on empty-can test

Other diagnostic factors

  • deltoid pain
  • night pain
  • pain and weakness on lift-off test
  • pain and weakness on belly-press test
  • pain on Neer impingement test
  • pain on Hawkins impingement test
  • adhesive capsulitis

Risk factors

  • age >60 years
  • hx of repetitive overhead movement
  • hx of superior labral tears
  • shoulder injury

Diagnostic investigations

Investigations to consider

  • diagnostic injection
  • MRI
  • ultrasound
  • magnetic resonance arthrography
  • CT arthrography
  • CT scan
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Assistant Director

Department of Medicine

Hartford Hospital

Hartford

CT

Disclosures

RJG declares that he has no competing interests.

Assistant Director

Department of Medicine

Hartford Hospital

Hartford

CT

Disclosures

JJ declares that he has no competing interests.

Dr Robert J. Gionfriddo and Dr Jason Jacob would like to gratefully acknowledge Dr Daniel J. Solomon and Dr Michael G. Clarke, previous contributors to this monograph. DJS serves as a speaker/course instructor for Arthrex Inc. and Pacific Medical Inc. and has received honoraria from both companies. MGC declares that he has no competing interests.

Peer reviewers VIEW ALL

Assistant Director

Orthopaedic Shoulder and Sports Surgery

Naval Medical Center San Diego

San Diego

CA

Disclosures

MTP declares that he has no competing interests.

Consultant in Trauma and Orthopaedics

Department of Trauma and Orthopaedics

Leicester Royal Infirmary

Leicester

UK

Disclosures

RP declares that he has no competing interests.

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