What physical examination test would likely be painful for a patient with shoulder pain and limited range of motion?

What physical examination test would likely be painful for a patient with shoulder pain and limited range of motion?

• A. Apprehension test
• B. Neer's test
• C. Yergason's test
• D. Tinel test

Answer: (B)

Neer's test is specifically designed to assess for shoulder impingement, particularly involving the subacromial space. This test involves the examiner fully elevating the patient's arm while stabilizing the scapula. If there is an underlying issue such as rotator cuff pathology or impingement, this maneuver can provoke pain due to compression of the affected structures. Patients presenting with shoulder pain and limited range of motion are often experiencing some form of inflammation or mechanical irritation in the shoulder joint or surrounding soft tissues. When the arm is raised in Neer’s test, it reproduces this pain through the mechanism of impingement, making it a highly relevant test in the context of the patient's symptoms. The other tests listed may not elicit pain to the same extent. For instance, the Apprehension test assesses for instability and may be painful, but it primarily evaluates apprehension rather than direct pain from impingement. Yergason's test assesses biceps tendon integrity, which may or may not cause pain depending on the specific underlying condition. The Tinel test evaluates nerve irritation, particularly regarding the ulnar nerve, making it less focused on shoulder mechanics and more related to neuropathic symptoms. Thus, Neer's test stands out for its

Neer's test is specifically designed to assess for shoulder impingement, particularly involving the subacromial space. This test involves the examiner fully elevating the patient's arm while stabilizing the scapula. If there is an underlying issue such as rotator cuff pathology or impingement, this maneuver can provoke pain due to compression of the affected structures.

Patients presenting with shoulder pain and limited range of motion are often experiencing some form of inflammation or mechanical irritation in the shoulder joint or surrounding soft tissues. When the arm is raised in Neer’s test, it reproduces this pain through the mechanism of impingement, making it a highly relevant test in the context of the patient's symptoms.

The other tests listed may not elicit pain to the same extent. For instance, the Apprehension test assesses for instability and may be painful, but it primarily evaluates apprehension rather than direct pain from impingement. Yergason's test assesses biceps tendon integrity, which may or may not cause pain depending on the specific underlying condition. The Tinel test evaluates nerve irritation, particularly regarding the ulnar nerve, making it less focused on shoulder mechanics and more related to neuropathic symptoms. Thus, Neer's test stands out for its