Contents
How Is Shoulder Impingement Diagnosed?
Published: Mar 25, 2024
Accurate diagnosis is essential for effective treatment of shoulder impingement syndrome. Learn about the tests and imaging techniques used to identify this condition.
Physical Examination Techniques
Doctors use a combination of tests to diagnose SIS, such as the Neer and Hawkins-Kennedy tests. These involve specific arm movements to check for pain. Multiple positive tests increase the likelihood of SIS.
Imaging Methods
While X-rays aren't always necessary, they can help rule out other conditions. Ultrasound is useful for evaluating tendons and pinpointing impingement. MRI is reserved for cases where other conditions like rotator cuff tears are suspected.
The Role of Technology
Musculoskeletal ultrasound offers a dynamic way to assess shoulder issues. It allows real-time evaluation of shoulder movement and helps identify specific areas of impingement. This technology is increasingly used in diagnosing SIS.
Frequently Asked Questions
Neer and Hawkins-Kennedy tests are common diagnostic tools.
Imaging isn't always needed but can confirm the diagnosis.
MRI is used if a rotator cuff tear is suspected.
The Bottom Line
Proper testing ensures an accurate diagnosis of SIS, paving the way for effective treatment.
References
- Michener LA, Walsworth MK, Doukas WC, Murphy KP. Reliability and diagnostic accuracy of 5 physical examination tests and combination of tests for subacromial impingement. Arch Phys Med Rehabil 2009; 90:1898.
- Seeger LL, Gold RH, Bassett LW, Ellman H. Shoulder impingement syndrome: MR findings in 53 shoulders. AJR Am J Roentgenol 1988; 150:343.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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