Office evaluation and management of the shoulder impingement syndrome

Orthop Clin North Am. 1988 Oct;19(4):755-65.


The shoulder impingement syndrome is the most common cause of shoulder pain. A complete office evaluation can be aided by a printed exam sheet. Careful consideration of the differential diagnosis is important, often employing the Xylocaine injection test. The impingement syndrome responds to conservative treatment the majority of the time. Long follow-up determines the need for an invasive evaluation or surgical treatment.

MeSH terms

  • Adolescent
  • Adult
  • Exercise Therapy
  • Humans
  • Joint Diseases / diagnosis
  • Joint Diseases / therapy
  • Middle Aged
  • Pain / etiology
  • Physical Examination
  • Shoulder Injuries
  • Shoulder Joint* / physiopathology
  • Shoulder Joint* / surgery
  • Syndrome
  • Tendon Injuries / diagnosis
  • Tendon Injuries / therapy
  • Ultrasonography