{"id":12459,"date":"2022-11-02T08:46:56","date_gmt":"2022-11-02T07:46:56","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=12459"},"modified":"2022-11-02T08:46:56","modified_gmt":"2022-11-02T07:46:56","slug":"posterior-impingement-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/posterior-impingement-test\/","title":{"rendered":"Posterior Impingement Test"},"featured_media":12460,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":""},"class_list":["post-12459","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"free_access":"","app_link":"","sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12460,"background_image_alt_text":"Posterior Impingement Test"},"heading":"Posterior Impingement Test | Internal Impingement","subheading":"Shoulder Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Posterior Impingement Test | Internal Impingement<\/h2>\nA very common pathology in overhead-throwing athletes is posterior shoulder pain resulting from internal impingement. \u201cInternal impingement\u201d is a term used to describe a constellation of symptoms that result from the greater tuberosity of the humerus and the articular surface of the rotator cuff abutting the posterosuperior glenoid when the shoulder is in an abducted and externally rotated position. The pathophysiology of symptomatic internal impingement is multifactorial, involving physiologic shoulder remodeling, posterior capsular contracture, and scapular dyskinesis.<\/span>\n\nMeister et al. (2004)<\/a> evaluated the internal impingement test and found a sensitivity of 76% and a specificity of 85%. Although the diagnostic accuracy is moderate, the study contained several methodological flaws. <\/span>For this reason, we give this test a weak clinical value until further diagnostic studies have been carried out.<\/span>\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=oMxUGcHpg-Q[\/embed]\n\n<\/div>\nTo conduct the test, have the patient in supine position.\nThen bring the patient\u2019s shoulder into 90-110 degrees of abduction, 10-15 degrees of extension, and maximal external rotation.<\/span>\n\nThe test is positive if the patient complains of deep posterior pain.\n<\/span>A positive test was correlated with undersurface tearing of the rotator cuff and\/or posterior labrum in athletes with gradual onset of posterior shoulder pain during overhand athletics.<\/span>\n\nBe aware, that tests that were designed for the formerly called \u201cexternal impingement\u201d group can create a false positive test outcome in case of internal impingement as well.\u00a0 Leschinger et al. (2017)<\/a> reported that mechanical contact of the supraspinatus with the posterosuperior glenoid was present during the Neer test, while the Hawkins-Kennedy Test might be provocative in case of anterosuperior internal impingement.<\/span>\n\nCommon tests for subacromial pain syndrome (SAPS), which you might want to check out are:\n