NPTEEFF Shoulder conditions

RTC tendonitis characteristics, exam/observation, and special tests

Characteristics: Inflammation to RC tendons due to impingement. Acute: 20-40yo, chronic 30-70yo

Exam/observe: Painful overhead and resisted abduction, limited abduction, pain with rotation at 90/90

Special tests:

Drop arm (tear)

Empty can (Supra)

RTC rupture characteristics, exam/observation, and special tests

Characteristics: occurs 40+

Exam/observe: Pain with arm elevation, limited active/resisted abduction, passive range is full without pain

ST: drop arm

Bicipital tendinitis characteristics, exam/observation, and special tests

Characteristics: age 20-45, repetitive overhead,

Exam/observe: pain with overhead, pain with full ext/flex, limited ER at 90degree abd, passive combo of shoulder/elbow extension is painful, resisted elbow flexion is painful

ST: speed, yergason

Subacromial bursitis characteristics, exam/observation, and special tests

Characteristics: Repetitive overhead

Exam/observe: Painful 60-120 arc, active ab with IR limited, passive IR at 90ABD is painful, resisted movements are painful

ST: Hawkins, Neer

AC joint sprain characteristics, exam/observation, and special tests

Characteristics: fall onto tip of shoulder

Exam/observe: 3rd degree step deformity, tender AC, horizontal adduction and elevation is painful

ST: Shear

SICK scapula characteristics, exam/observation, and special tests

Characteristics: ages 20-40

Exam/observe: Malposition of scapula, winging, abnormal scapula mvmt

ST: Scapula assistance test, scapula reposition test