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Downloaded from https://pdfs.journals.lww.com/jaapa by BhDMf5ePHKZxZb3ruX4b9cKfbT5h3bp+v9gTtSlrchDWvVTxyN8Hif2P/rPZfAxb8td684/2m6Qj/1S0ZObgiiKJ9vD64yNdY1wI1G/v4gN3ti1fujtTJsg5898WZFuC on 02/23/2019 QUICK RECERTIFIC ATION SERIES Nicole Bartoszewski, MPAS, PA-C; Nata Parnes, MD GENERAL FEATURES Classic arc of pain, Hawkins-Kennedy, and Neer • Rotator cuff injury is the most frequent cause of shoulder tests (impingement syndrome) pain and typically affects patients over age 40 years. Empty can and drop arm test (supraspinatus injury) • The rotator cuff is composed of the supraspinatus, infra- Hornblower sign and external rotation lag sign spinatus, subscapularis, and the teres minor muscles. (infraspinatus injury) • The supraspinatus tendon is the most commonly involved Belly press test and Gerber test (subscapularis tendon. injury) • Rotator cuff injuries are common in athletes and occupa- The long head of the biceps can be involved in 50% tions that require overhead and repetitive activities. of rotator cuff injuries and should be evaluated. • The average age of onset is age 55 years. Evaluate the cervical spine, including a complete neu- • Rotator cuff injury is thought to be secondary to impinge- rovascular examination of the upper extremity; shoul- ment, degenerative changes, subacromial bone spurs, der pain can be referred from the neck. poor blood supply, or overload. Less commonly, trauma can cause acute
Journal of the American Academy of PAs – Wolters Kluwer Health
Published: Apr 1, 2018
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