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What is a positive result for the Neer's Test indicative of?

  1. Shoulder instability

  2. Impacted shoulder joint

  3. Shoulder impingement

  4. Injury to the elbow

The correct answer is: Shoulder impingement

A positive result for the Neer's Test is indicative of shoulder impingement. This test specifically assesses the presence of pain during shoulder flexion, which occurs when the arm is raised in front and above the head. If there is pain during this maneuver, it suggests that the rotator cuff tendons, particularly the supraspinatus tendon, may be impinged beneath the acromion process. Shoulder impingement can occur due to a variety of factors, including anatomical variations, swelling, or damage to the rotator cuff tendons. The Neer's Test is widely used in clinical settings to help differentiate shoulder impingement from other shoulder disorders, focusing specifically on the mechanical aspects of shoulder movement. In contrast, shoulder instability relates more to joint laxity or dislocation of the shoulder, which would not typically result in localized pain during the Neer's Test. An impacted shoulder joint suggests trauma or fractures, which would present differently. Lastly, an injury to the elbow is not related to the assessment of shoulder function and would not be evaluated with this specific test.