JOURNAL ARTICLE
REVIEW

Introduction of a new physical examination procedure for the differentiation of acromioclavicular joint lesions and subacromial impingement

D J Buchberger
Journal of Manipulative and Physiological Therapeutics 1999, 22 (5): 316-21
10395434

OBJECTIVE: To present a new physical examination procedure that may assist in differentiating acromioclavicular joint lesions from subacromial impingement lesions.

DISCUSSION: The acromioclavicularjoint differential test is performed by applying downward pressure over the lateral one third of the clavicle while passively inducing slight' adduction, external rotation, and forced forward flexion to the humerus while the patient is in the seated position. Although similar mechanisms have been described, the acromioclavicular joint differential test is a new, previously unreported examination procedure.

CONCLUSION: This article describes a new test to differentiate between acromioclavicular joint lesions and subacromial impingement. On the basis of its mechanism, the acromioclavicular joint differential test may provide the examiner with an additional tool in the differential diagnosis of acromioclavicularjoint lesions and subacromial impingement in the patient with shoulder pain. Although this test has been used by the author in a clinical setting, validation data are not yet available.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
10395434
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"