Abstract
The purpose of the physical examination is to confirm the suspicions that are generated by the patient’s history and general survey in order to arrive at the correct diagnosis. Physical examination of patients with rotator cuff disease is particularly challenging due to the wide spectrum of pathologies that can produce similar symptoms and physical findings. Subacromial impingement, subcoracoid impingement, internal impingement, and full-thickness rotator cuff tears all present differently although their physical findings may overlap. A differential-based approach allows the examiner to focus on the suspected pathology which most often leads to an accurate diagnosis. The purpose of this chapter is to explore the pathogenesis and pertinent physical examination findings in patients with subacromial impingement, subcoracoid impingement, internal impingement, and rotator cuff tears.
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