Impingement Tests

Video Transcription

0:00 There are several tests described for impingement. Here, we demonstrate the Hawkins-Kennedy Test, which produces pain on the internal rotation with the shoulder in forwards flexion.
0:15 Another test is the empty Empty Can/Full Can test. This is as demonstrated with the arms elevated in the scapular plane, the hands are turned into internal rotation, and the patient is asked to resist elevation. Then the hands are turned with the palm facing upwards and again resist the elevation. If pain is demonstrated with the palms down, then this indicated impingement. If there is pain on both positions, then it is very likely that there is rotated cuff.
0:45 The Neer sign shows pain and restriction in the elevation in the scapular plane on movement in the case of impingement. The subacromial bursa is then injected with local anesthetic and the movement is repeated ten minutes later. This should resolve and restore full range of movement. This is the Neer Test.

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