Sx: pain to lateral arm, worse with overhead activity and sleeping/lying on arm

Anatomy: Pain generating structures include the rotator cuff, subacromial bursa, labrum and biceps tendon.

http://www.ortho-md.com/images/proceduresImg/SHOULDER2.jpg

Testing: Neer and Hawking tests

https://www.youtube.com/watch?v=U8-yLHQ_JaM

https://www.youtube.com/watch?v=OYK5qL2om-c

Done indepedently, Hawkings is more sensitive, however best to combine both tests.

Imaging: not indicated

Tx: rest, ice, physical therapy (modalities), subacromial steroid injection