2898acae_ULDER_EXAMINATION_STRESS_TESTS__POSITION_OF_THE_ARM
[TESTS] Rotator Cuff Impingement Tests (Flexion-Internal Rotation Test) [STRUCTURES INVOLVED] Assess the presence of rotator cuff inflammation or impingement syndrome. Supraspinatus Tendon Stand to the side of the patient's involved shoulder and grasp the patient's elbow with one hand and support the arm so that both the elbow and shoulder are flexed 90 degrees. Place your other hand on the patient's forearm and maximally, internally rotate the humerus. This passive movement drives the greater tuberosity under the coracoacromial arch and impinges the rotator cuff. This movement will elicit a painful response if rotator cuff inflammation or impingement syndrome is present. You should also perform this test on the uninvolved shoulder and compare bilaterally. [POSITION OF THE ARM] 
Have your patient sit on the examination table.
SHOULDER EXAMINATION STRESS TESTS
POSITION OF THE ARM