Summary
Definition
History and exam
Key diagnostic 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
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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