Shoulder Pathology
A 52-year-old recreational tennis player presents with 6 months of anterolateral shoulder pain worsened by overhead activities. Examination reveals a positive Neer impingement sign (pain with passive forward flexion), positive Hawkins-Kennedy test, and painful arc between 60-120 degrees. Rotator cuff strength is intact. X-rays show type II acromion morphology. Regarding subacromial impingement syndrome:
Mark each as TRUE or FALSE
SUBACROMIAL IMPINGEMENT (external impingement) is mechanical compression of the supraspinatus tendon...
NEER STAGES: Stage I = edema and hemorrhage (age less than 25, reversible); Stage II = fibrosis and ...
External impingement only occurs in patients over 60 years old; Stage I always requires surgery; bon...
CLINICAL EXAMINATION: Neer impingement sign (passive forward flexion causes pain - 89% sensitive); H...
BIGLIANI ACROMION classification on outlet view: Type I = flat (17% association with cuff tears); Ty...
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Click T (True) or F (False) for each option