1. Shoulder impingement syndrome
Michael C. Koester, MD, Michael S. George, MD, John E. Kuhn, MD 
The American Journal of Medicine 
Volume 118, Issue 5, Pages (May 2005)
DOI: /j.amjmed
Copyright © 2005 Elsevier Inc. Terms and Conditions

2. Figure 1
Examining the subscapularis using the lift-off test. This may be painful or weak with tears of the anterior supraspinatus or subscapularis.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2005 Elsevier Inc. Terms and Conditions

3. Figure 2
Examining the external rotators of the shoulder. This may be painful or weak with tears of the supraspinatus or infraspinatus.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2005 Elsevier Inc. Terms and Conditions

4. Figure 3
Examining the supraspinatus. Pain or weakness may be seen in disorders of the rotator cuff.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2005 Elsevier Inc. Terms and Conditions

5. Figure 4
Neer’s sign. A provocative test where pain is suggestive of impingement syndrome.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2005 Elsevier Inc. Terms and Conditions

6. Figure 5
Hawkins’ sign. A provocative test where pain is suggestive of impingement syndrome.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2005 Elsevier Inc. Terms and Conditions

7. Figure 6
Limited passive internal rotation of the glenohumeral joint. This finding is an early sign of adhesive capsulitis.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2005 Elsevier Inc. Terms and Conditions

8. Figure 7
Treatment algorithm for subacromial impingement syndrome. SIS = subacromial impingement syndrome; NSAID = nonsteroidal anti-inflammatory drug; PT = physical therapy.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2005 Elsevier Inc. Terms and Conditions