Please note: Currently due to the coronavirus pandemic and in line with government advice we are offering primarily remote video new and return appointments through Ross Hall. We are regularly reviewing this advice.

Clinical examination for impingment / rotator cuff disease

cuff exam new snip

Rotator cuff disorders are the most common causes of shoulder pain and will account for over half of patients attending primary care with shoulder pain. A typical history would be of anterolateral shoulder pain often with radiation into the deltoid. Which is aggravated by elevation and rotation of the arm. Pain is often worse at night. Onset of pain can be spontaneous or related to trauma or overuse.

Specific tests for impingement syndrome are demonstrated below. The tests shown provoke the rotator cuff to produce pain. True weakness can be difficult to tell from pain inhibition. However an inability to elevate the arm actively merits onward urgent referral to a shoulder surgeon.

Please watch video, which will demonstrate impingement tests and rotator cuff tests.

A Brooksbank December 2011


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