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Subacromial bursitis is a condition caused by inflammation of the bursa that separates the superior surface of the supraspinatus tendon (one of the four tendons of the rotator cuff) from the overlying coraco-acromial ligament, acromion, and coracoid (the acromial arch) and from the deep surface of the deltoid muscle. [1]
The Apley scratch test specifically tests range of motion and in a normal exam, an individual should be able to reach C7 on external rotation, and T7 on internal rotation. Evaluation of distal pulses; Strength testing: wrist extension tests the radial nerve, finger abduction tests the ulnar nerve, and thumb apposition tests the median nerve.
of or pertaining to the shoulder (or [rarely] the upper arm) Latin umerus, shoulder humerus: hydr(o)-water Greek ὕδωρ (húdōr), water hydrophobe, hydrogen hyper-extreme or beyond normal Greek ὑπέρ (hupér), over, above; beyond, to the extreme hypertension, hypertrichosis: hyp(o)-below normal Greek ὑπό, ὑπο-(hupó), below, under
The Hawkins-Kennedy test [11] [12] has a sensitivity of approximately 80% to 90% for detecting impingement. The infraspinatus and supraspinatus [13] tests have a specificity of 80% to 90%. [10] A common cause of shoulder pain in rotator cuff impingement syndrome is tendinosis, which is an age-related and most often self-limiting condition. [14]
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
However, imaging studies are unable to show cause of shoulder pain in diagnosing. For example, MRI imaging would show rotator cuff pathology and bursitis but is unable to specify the cause. [15] On physical exam, the physician may twist or elevate the patient's arm to test for reproducible pain (the Neer sign and Hawkins-Kennedy test).
Anatomical terminology [ edit on Wikidata ] The subacromial bursa is the synovial cavity located just below the acromion , which communicates with the subdeltoid bursa in most individuals, forming the so-called subacromial-subdeltoid bursa ( SSB ).
Shoulder pain, weakness [1] Types: Partial, complete [2] Diagnostic method: Based on symptoms, examination, medical imaging [2] Differential diagnosis: Subacromial bursitis, rotator cuff tendinitis, impingement syndrome [1] [3] Treatment: Pain medication, specific exercises, surgery [1] Frequency: Common [2]
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