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Knee Surg Sports Traumatol Arthrosc. 2013 Feb;21(2):424-9. doi: 10.1007/s00167-012-1969-7. Epub 2012 Mar 28.

Palpation tests versus impingement tests in Neer stage I and II subacromial impingement syndrome.

Author information

1
Department of Radiology, Ankara Numune Training and Research Hospital, 06100, Ankara, Turkey. ugurtoprakk@gmail.com

Abstract

PURPOSE:

Using sonographic findings to test the diagnostic accuracy of impingement versus tendon palpation tests in Neer stage I and II subacromial impingement syndrome cases and examine their clinical potential.

METHODS:

Neer and Hawkins impingement tests and rotator cuff tendon palpation tests followed by bilateral shoulder sonography were conducted on 69 patients with a clinical diagnosis of unilateral subacromial impingement.

RESULTS:

The Neer and Hawkins tests had 74 and 62 % accuracy (sensitivity 80 and 67 %, and specificity 52 and 47 %, respectively) in comparison to 79 and 62 % accuracy rates for supraspinatus and biceps tendon palpation tests (sensitivity 92 and 41 %, and specificity 41 and 48 %, respectively). Overall, the palpation tests scored better than impingement tests in the diagnosis of Neer stage I and II subacromial impingement syndrome. No tendinosis or tear was noted in patients with negative findings in the supraspinatus palpation tests (sensitivity 100 %, specificity 21 %).

CONCLUSION:

Palpation tests for supraspinatus and biceps tendons have a slightly higher accuracy than the impingement tests, and if tenderness does not exist then supraspinatus tendinopathy can be ruled out. These findings warrant the use of palpation tests in a routine physical examination for tendinopathy.

LEVEL OF EVIDENCE:

I.

PMID:
22453312
DOI:
10.1007/s00167-012-1969-7
[Indexed for MEDLINE]

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