No tests for impingement or acromioclavicular ( AC ) joint pathology demonstrated significant diagnostic accuracy .
Based on pooled data , the diagnostic accuracy of the Neer test for impingement , the Hawkins-Kennedy test for impingement and the Speed test for labral pathology is limited .
Currently , almost without exception , there is a lack of clarity with regard to whether common OSTs used in clinical examination are useful in differentially diagnosing pathologies of the shoulder
OBJECTIVE To compile and critique research on the diagnostic accuracy of individual  orthopaedic physical examination tests in a manner that would allow clinicians to judge whether these tests are valuable to their practice .
The posterior impingement sign: diagnosis of rotator cuff and posterior labral tears secondary to internal impingement in overhand athletes.
We conducted this study to determine whether a test , the posterior impingement maneuver , could be used to prospect ively identify articular side tears of the rotator cuff and /or posterior labrum . Sixty-nine athletes presented with posterior shoulder pain that developed during overh and athletics . Injured shoulders were placed into 90 degrees to 110 degrees of abduction , slight extension , and maximum external rotation , and an effort was made to elicit pain deep within the posterior aspect . Overall sensitivity of the test was 75.5 % , and specificity was 85 % . When only athletes with noncontact injuries ( gradual onset of pain ) were considered , sensitivity was 95 % and specificity was 100 % . A positive posterior impingement sign correlated highly with undersurface tearing of the rotator cuff and /or tearing of the posterior labrum in athletes with gradual onset of posterior shoulder pain during overh and athletics
No tests for impingement or acromioclavicular ( AC ) joint pathology demonstrated significant diagnostic accuracy .
Based on pooled data , the diagnostic accuracy of the Neer test for impingement , the Hawkins-Kennedy test for impingement and the Speed test for labral pathology is limited .
Currently , almost without exception , there is a lack of clarity with regard to whether common OSTs used in clinical examination are useful in differentially diagnosing pathologies of the shoulder
OBJECTIVE To compile and critique research on the diagnostic accuracy of individual  orthopaedic physical examination tests in a manner that would allow clinicians to judge whether these tests are valuable to their practice .