The anterior impingement test
is performed with the patient in supine position.
(58) Other primary clinical outcomes cited in the literature to assess postoperative outcomes include the use of the anterior impingement test
(flexion, adduction, internal rotation), modified HHS, Short Form 12, Hip Outcome Score--activities of daily living, and/or Hip Outcome Score--sport-specific.
The therapist assessed patients using Neer impingement test
(specificity=30.5, sensitivity=88.7) and Hawkins Kennedy impingement test
(specificity=25%, sensitivity=92%).(20) The physical therapist completed the assessment after obtaining consent from the patient and then used numeric pain rating scale (NPRS) to measure pain intensity, range of motion for mobility and shoulder pain and disability index (SPADI) for functional status.
After inserting the implant, we performed an impingement test
to prevent bone-to-implant or bone-to-bone impingement.
The impingement tests
of Hawkins and Neer as well as the horizontal impingement test
are considered as particularly reliable for identifying subacromial and coracoid shoulder impingement syndromes and are routinely included in the clinical shoulder examination [1-6].
The clinical examination may reveal non-specific focal tenderness over the iliopsoas tendon at the anterior joint line, positive hip impingement test
To assess for shoulder impingement, he suggests the Neer impingement test
, which is performed by internally rotating the arm with the elbow extended and then passively forward-flexing the arm, attempting to reach 180 degrees.
The slurry jet impingement test
results at the 900 impingement angle did not discriminate between the three alloys.
On orthopedic testing, anterior impingement test
, Patrick-FABERE, and lateral impingement tests
were all positive on the right.
(3), the anterior impingement test
was positive in 99% of patients with radiographic confirmed FAI.
Additionally, it is well known that the impingement test
with injection of 10 cc of 1% lidocaine into the subacromial space is useful in distinguishing impingement lesions from other causes of shoulder pain (11).
(41) Impingement may be a cause of persistent groin pain after hip resurfacing (42) and can be elicited during the physical examination using a provocative impingement test
that combines hip flexion, adduction, and internal rotation.