Symptoms of impingement syndrome

How does the impingement syndrome present clinically?

• Pain with active shoulder movement (patient moves arm), especially flexion (between 60 and 120 degrees), abduction and internal rotation.

• Much less or no pain with passive movement (examiner moves arm).

• Absence of swelling, redness, or warmth at shoulder joint.

• Radiographically, the space between the humeral head and inferior surface of the acromion may be <8 mm.

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