The first and most important step to take when managing shoulder dysfunction is to make a specific diagnosis.
Diagnosis
| Problem | Age Group | Symptoms | Diagnosis |
|---|---|---|---|
| Instability | 17-30 | Dislocations | History of dislocation Apprehension sign |
| Stiffness | 40-60 | Pain | Loss of external rotation Pain |
| Impingement | 30-60 | Pain with overhead activities Pain at night | Impingement signs |
| Rotator cuff tear | 50+ | Pain and difficulty performing overhead activities | Impingement signs Weakness of external rotation Weakness of supraspinatus |
| AC joint pain | 20-40 | Localised AC joint pain | Bell (modified O’Brien sign) |
| Arthritis | 70+ | Pain Loss of movement | Crepitus |