Painful Arc

Expert Opinion[edit | edit source]

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Purpose
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This test is commonly used to identify possible subacromial impingement syndrome.

Technique
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The patient should be instructed to abduct the arm in the scapular plane and then slowly reverse the motion, bring the arm back to neutral position.  This test is considered to be positive if the patient experiences pain between 60 and 120 degrees of elevation. [1]

Evidence[edit | edit source]

Diagnostic Test Properties for Painful Arc Sign [2]
Sensitivity .33
Specificity .81
Positive Likelihood Ratio 1.70
Negative Likelihood Ratio .84

References
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  1. Flynn, T.W., Cleland, J.A., & Whitman, J.M. (2008). User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion
  2. Calis, M., Akgun, K., Birtane, M., et al. (2000). Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis, 59, 44-47.