The first and most important step to take when managing shoulder dysfunction is to make a specific diagnosis (Table 2).
|Instability||17-30||Dislocations||History of dislocation Apprehension sign|
|Stiffness||40-60||Pain||Loss of external rotation Pain at night Loss of movement|
|Impingement||30-60||Pain with overhead activities Pain at night||Impingement signs|
|Rotator cuff tear||50+||Pain with overhead activities Pain at night Inability to perform overhead activities||Impingement signs Weakness of external rotation Weakness of supraspinatus|
|AC joint pain||20-40||Localised AC joint pain||Paxinos sign|
|Arthritis||70+||Pain Loss of movement||Crepitus|