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	{{Short description\|Clinical test for shoulder impingement}}		{{Short description\|Clinical test for shoulder impingement}}

	The '''Neer impingement test''' is a clinical examination procedure used to assess [[shoulder impingement syndrome]]. This test is named after Dr. Charles Neer, who first described it as a method to diagnose impingement of the [[rotator cuff]] tendons ~~under~~ the [[acromion]] of the shoulder.		The '''Neer impingement test''' is a clinical examination procedure used to assess [[shoulder impingement syndrome]]. This test is named after Dr. Charles Neer, who first described it as a method to diagnose impingement of the [[rotator cuff]] tendons and the [[subacromial bursa]] beneath the [[acromion]] of the shoulder.

	==Procedure==		==Procedure==
	The Neer impingement test is performed with the patient either sitting or standing. The examiner stabilizes the patient's scapula with one hand while passively flexing the patient's arm forward with the other hand. The arm is internally rotated, and the examiner continues to elevate the arm in the scapular plane. This maneuver compresses the [[supraspinatus]] tendon and the [[subacromial bursa]] against the anterior-inferior aspect of the acromion.

	[[File:Neer_Test.jpg\|Neer impingement test being performed\|thumb\|right]]		[[File:Neer_Test.jpg\|Neer impingement test being performed\|thumb\|right]]
			The Neer impingement test is performed with the patient either sitting or standing. The examiner stabilizes the patient's scapula with one hand while passively flexing the patient's arm forward with the other hand. The arm is internally rotated, and the examiner continues to elevate the arm in the scapular plane. This maneuver compresses the greater tuberosity of the humerus against the anterior acromion, potentially reproducing pain if there is impingement.

	==Interpretation==		==Interpretation==
	A positive Neer impingement test is indicated by pain in the anterior or lateral aspect of the shoulder, suggesting impingement of the ~~rotator cuff tendons~~ or the subacromial bursa. ~~This~~ test is ~~often used in conjunction with~~ other tests~~, such as the [[Hawkins-Kennedy test]], to increase diagnostic accuracy for shoulder impingement syndrome~~.		A positive Neer impingement test is indicated by pain in the anterior or lateral aspect of the shoulder, suggesting impingement of the [[supraspinatus]] tendon or the [[subacromial bursa]]. It is important to note that while a positive test suggests impingement, it is not specific for the exact structure involved and should be considered alongside other clinical findings and tests.

	==Clinical Significance==		==Clinical Significance==
	The Neer impingement test is ~~a valuable tool~~ in the ~~clinical assessment~~ of shoulder pain. It helps ~~differentiate between different causes of shoulder pain~~, such as [[rotator cuff ~~tear~~]], [[bursitis]], or [[~~tendinitis~~]]. ~~However, it is important to note that a positive test alone is not diagnostic~~ of impingement ~~syndrome, and further imaging studies, such as~~ [[~~MRI]~~] ~~or [[ultrasound~~]~~], may be required to confirm the diagnosis~~.		The Neer impingement test is commonly used in the evaluation of patients with shoulder pain. It helps in diagnosing [[subacromial impingement syndrome]], which can be caused by various factors such as [[rotator cuff tendinitis]], [[bursitis]], or [[acromioclavicular joint]] arthritis. Early diagnosis and management of impingement can prevent progression to more severe conditions like [[rotator cuff tears]].

	==Limitations==		==Limitations==
	While the Neer impingement test is ~~widely used~~, it ~~has limitations~~. ~~The~~ test ~~may produce false positives~~ in ~~patients~~ with other ~~shoulder pathologies~~, such as [[~~adhesive capsulitis~~]] or [[~~glenohumeral joint arthritis~~]]~~. Additionally, the test's sensitivity and specificity can vary depending on the examiner's technique and the patient's anatomy~~.		While the Neer impingement test is a useful tool in the clinical assessment of shoulder pain, it is not definitive. False positives can occur, and the test does not differentiate between different causes of impingement. Therefore, it should be used in conjunction with other diagnostic tests, such as the [[Hawkins-Kennedy test]], and imaging studies like [[MRI]] or [[ultrasound]] for a comprehensive evaluation.

	==Related pages==		==Related pages==
	* [[Shoulder impingement syndrome]]		* [[Shoulder impingement syndrome]]
	* [[Rotator cuff]]		* [[Rotator cuff]]
			* [[Subacromial bursa]]
	* [[Hawkins-Kennedy test]]		* [[Hawkins-Kennedy test]]
	* [[Subacromial bursitis]]

	[[Category:~~Musculoskeletal~~ examination]]		[[Category:Orthopedic examination]]
	[[Category:~~Orthopedic clinical tests~~]]		[[Category:Shoulder]]

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{{Short description|Clinical test for shoulder impingement}}

The '''Neer impingement test''' is a clinical examination procedure used to assess [[shoulder impingement syndrome]]. This test is named after Dr. Charles Neer, who first described it as a method to diagnose impingement of the [[rotator cuff]] tendons under the [[acromion]] of the shoulder.

==Procedure==
The Neer impingement test is performed with the patient either sitting or standing. The examiner stabilizes the patient's scapula with one hand while passively flexing the patient's arm forward with the other hand. The arm is internally rotated, and the examiner continues to elevate the arm in the scapular plane. This maneuver compresses the [[supraspinatus]] tendon and the [[subacromial bursa]] against the anterior-inferior aspect of the acromion.

[[File:Neer_Test.jpg|Neer impingement test being performed|thumb|right]]

==Interpretation==
A positive Neer impingement test is indicated by pain in the anterior or lateral aspect of the shoulder, suggesting impingement of the rotator cuff tendons or the subacromial bursa. This test is often used in conjunction with other tests, such as the [[Hawkins-Kennedy test]], to increase diagnostic accuracy for shoulder impingement syndrome.

==Clinical Significance==
The Neer impingement test is a valuable tool in the clinical assessment of shoulder pain. It helps differentiate between different causes of shoulder pain, such as [[rotator cuff tear]], [[bursitis]], or [[tendinitis]]. However, it is important to note that a positive test alone is not diagnostic of impingement syndrome, and further imaging studies, such as [[MRI]] or [[ultrasound]], may be required to confirm the diagnosis.

==Limitations==
While the Neer impingement test is widely used, it has limitations. The test may produce false positives in patients with other shoulder pathologies, such as [[adhesive capsulitis]] or [[glenohumeral joint arthritis]]. Additionally, the test's sensitivity and specificity can vary depending on the examiner's technique and the patient's anatomy.

==Related pages==
* [[Shoulder impingement syndrome]]
* [[Rotator cuff]]
* [[Hawkins-Kennedy test]]
* [[Subacromial bursitis]]

[[Category:Musculoskeletal examination]]
[[Category:Orthopedic clinical tests]]

Neer impingement test - Revision history

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