UMEM Educational Pearls

Category: Orthopedics

Title: Subacromial impingement

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.

Testing: Neer and Hawking tests

Done indepedently, Hawkings is more sensitive, however best to combine both tests.

Imaging: not indicated

Tx: rest, ice, physical therapy (modalities), subacromial steroid injection