Indications:

Impingement Sign test is a shoulder examination used to determine if there is any irritation or injury to the rotator-cuff tendons.

Procedure:

Patient seated or standing, 2 parts:

  1. Patient actively flexes shoulder with palm up (arm externally rotated).
  2. Patient actively flexes shoulder with palm down (arm internally rotated).
Impingement sign test for shoulder

Patient actively flexes shoulder with palm up (arm externally rotated). Patient actively flexes shoulder with palm down (arm internally rotated).

Interpretation:

Positive Pain during active flexion → shoulder impingement

Positive Pain → Internally rotated shoulder → supraspinatus impingement
Externally rotated shoulder → biceps long head impingement.

Clinical notes:

Syn: Biceps Test, Straight Arm Test
Test should be followed up with Neer’s impingement test (passive shoulder flexion).