Kinematic evaluation of the Hawkins and Neer sign

Journal of Shoulder and Elbow Surgery
Erling Hallström, Johan Kärrholm

Abstract

To study the kinematics of the glenohumeral joint during the testing of the Neer and Hawkins signs, we used dynamic radiostereometry. Eighteen patients with impingement syndrome (Neer stage 2) and eleven controls were included. During testing of the Neer sign, there was no significant difference in humeral rotation and translation between patients and controls. During testing of the Hawkins sign, the center of the humeral head was positioned more laterally and superiorly in controls than in patients. The maximum amount of abduction, either relative glenohumeral rotation or as absolute rotation, was not influenced by the presence of impingement symptoms. Absence of kinematic abnormalities during the Neer maneuver and changed humeral translation in the Hawkins position suggest that the latter test is a more sensitive diagnostic tool. Our findings do not support that abnormal passive shoulder motions precede development of impingement syndrome.

References

Dec 1, 1984·Clinical Orthopaedics and Related Research·P HerbertsG Sigholm
Mar 1, 1983·Clinical Orthopaedics and Related Research·C S Neer
Jun 1, 1981·Acta Orthopaedica Scandinavica·P HerbertsI Petersén
May 1, 1980·The American Journal of Sports Medicine·R J Hawkins, J C Kennedy
Nov 1, 1994·The American Journal of Sports Medicine·E L FlatowL U Bigliani
Oct 15, 1998·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·H GraichenF Eckstein
Jun 17, 1999·Surgical and Radiologic Anatomy : SRA·H GraichenF Eckstein
Jan 11, 2000·Annals of the Rheumatic Diseases·M CalişF Tüzün

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Citations

Feb 12, 2014·Radiological Physics and Technology·Keita SakudaYukihiro Matsuura
May 2, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Stefanos FarfarasJüri-Toomas Kartus

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