Shoulder Impingement Syndrome
- causes and risk factors
- signs, symptoms and diagnosis
- pathophysiology
- treatments
- consequences and course
- the patient
- health care team
- community involvement
- resources and references
Causes and Risk Factors
outlet impingement
subacromial spurs
Type II and III acromions
osteoarthritic spurs of acromioclavicular joint
thickened or calcified coracoacromial ligament
nonoutlet ligament
loss of rotator cuff...
Stage I
Stage II
Stage III
Signs, Symptoms, and Diagnosis
- history
- Tab 2
History
pain
Character
Events associated
pain shooting down the arm can suggest radiculopathy
weakness
loss of function
prior injections into the shoulder: reaction, scarring, rupture
3 injections per joint per lifetime
Physical Exam
Supraspinatus: abduction
empty can test
Hawkin's test - most sensitive for impingement
Neer's test
Pathophysiology
Treatments
Consequences and Course
The Patient
Health Care Team
Community Involvement
References