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. TestThe examiner performs maximal passive abduction in the scapula plane, with internal rotation, whilst stabilising the scapula. click for video PositivePain located to the sub-acromial space or anterior edge of acromion False positive Internal impingement Macdonald et al (2000) - Bankart 25% - SLAP 46.1 % ResearchValadie' 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% at the front; in front 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. 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."
towards the centre of the body; inwards Superior Labral Antero-Posterior lesion - Abbreviated term for an injury to the superior labrum of the glenoid. at the top; towards the head a structure (tissue) that attaches a muscle to a bone. When a tendon becomes inflamed, the condition is referred to as tendinitis or tendonitis.
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