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Shoulder Impingement: Sensitivity and Specificity

Introduction: aka Subacromial impingement

[Edit Diagnosis] [Merge dx] [Add prevalence]

Tags: Musculoskeletal Tag this Diagnosis.

The sensitivity and specificity of findings for Shoulder Impingement are listed below. See the left navigation bar to change the display.

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Finding SensitivitySpecificity Comments, Study
Hawkins Test Edit 79%59%

With examiner's hand on scapula to prevent elevation, hold arm parallel to ground with elbow flexed at 90 degrees and internally rotate (i.e. push forearm down).

NOTE: odds ratio CI crosses 1!

Study: Br J Sports Med. 2008 Feb;42(2):80-92. PMID: 17720798

Neer test Edit 79%53%

(forward) extension of shoulder with radius down (fully pronated) and examiner's hand placed on shoulder to prevent scapula elevation

NOTE: odds ratio CI crosses 1!

Study: Br J Sports Med. 2008 Feb;42(2):80-92. PMID: 17720798

Painful Arc Test Edit No accuracy specified.

the two studies that were done completely disagreed (sens/spec = 30/80 in one and 97/10 in the other)

painful arc during lateral arm elevation

Study: Joint Bone Spine. 2008 Dec 5. PMID: 19059801

Supraspinatus Test Edit No accuracy specified.

aka empty-can test.

Study: no study specified.

Yocum Test Edit Sensitivity = 78%

specificity not measured

Place hand on other shoulder, raise elbow without raising shoulder.

Study: Joint Bone Spine. 2008 Dec 5. PMID: 19059801