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Rotator cuff tendinopathy - Coggle Diagram
Rotator cuff tendinopathy
Tests
Hawkins Kennedy Test - to look for signs of impingement. Shoulder 90 degrees flexion, elbow flexed create passive int rotation.
Neer's test (empty can) - to look to signs of impingement particularly in the supraspinatus. Working in line of scaption, fully int rot and passive flexion.
Speeds test - to look for pathology of long head of bicep. anatomical position of arm resistance applied at forearm and shoulder then actively flexed to 90. Repeated with pronated hand if less pain likely a symptomatic bicep tendon.
Subjective
Pain pattern = worse in AM or when starting activity, may then improve and then will return or feel worse 24 hours later.
Pain usually highly localized over ischial tuberosity (attachment site). pt can often point to this area.
Insidious.
Likely a result of change in load profile - sudden increase in activity for example.
Think throwing.racket sports and or occupation.
Objective
We would likely see more ROM and less pain during PROM as there is not the contractile element of AROM.
Neuro examination should be clear.
May see a reduction in ROM and strength but this is likely to be limited by pain.
Research
Why this and nothing else
Differentials
Pathology
Treatment