Neer Impingement Sign
Jo Gibson, 2005
Dr Neer developed this test based on his observations during shoulder surgery. He reported that the critical area for degenerative tendonitis and tendon ruptures was focused on the supraspinatus tendon and at times involved the anterior infraspinatus and occasionally the long head of biceps. Elevation of the arm in external or internal rotation causes critical areas to pass under the coraco-acromialligament or anterior acromion.
The examiner performs maximal passive abduction in the scapula plane, with internal rotation, whilst stabilising the scapula.
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Pain located to the sub-acromial space or anterior edge of acromion
Internal impingement Macdonald et al (2000)
- Bankart 25%
- SLAP 46.1 %
Valadie' s paper demonstrated soft tissue contact with the medial acromion and contact between the articular surface of the rotator cuff and anterior- superior glenoid rim.
Sensitivity = 88.7%
Specificity = 30.5%
Reliability = 98%
a structure (tissue) that attaches a muscle to a bone. When a tendon becomes inflamed, the condition is referred to as tendinitis or tendonitis.
Top muscle and tendon of the rotator cuff. Abducts the arm. It is the tendon that is most often torn.
at the top; towards the head
Superior Labral Antero-Posterior lesion - Abbreviated term for an injury to the superior labrum of the glenoid.
towards the centre of the body; inwards
A tough band of connective tissue that connects two bones to each other. "Ligament" is a fitting term; it comes from the Latin "ligare" meaning "to bind or tie."
muscle and tendon of the rotator cuff. Externally rotates the arm. Lies between supraspinatus and teres minor.
A Bankart lesion is an injury to the anterior glenoid labrum associated with anterior shoulder dislocations. It usually requires surgical repair. It is named after Arthur Sydney Blundell Bankart, an English orthopaedic surgeon, who lived from 1879-1951.
at the front; in front
moving of a body part away from the central axis of the body
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