Category: Orthopedics
Keywords: shoulder pain, bursitis (PubMed Search)
Posted: 5/23/2015 by Brian Corwell, MD
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Sx: pain to lateral arm, worse with overhead activity and sleeping/lying on arm
Anatomy: Pain generating structures include the rotator cuff, subacromial bursa, labrum and biceps tendon.
http://www.ortho-md.com/images/proceduresImg/SHOULDER2.jpg
Testing: Neer and Hawking tests
https://www.youtube.com/watch?v=U8-yLHQ_JaM
https://www.youtube.com/watch?v=OYK5qL2om-c
Done indepedently, Hawkings is more sensitive, however best to combine both tests.
Imaging: not indicated
Tx: rest, ice, physical therapy (modalities), subacromial steroid injection