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Hawkins Kennedy Impingement Test

Hawkins Kennedy Impingement Test is commonly used to identify possible subacromial impingement syndrome.

To perform the test the patient stands and the examiner forward flexes the arm to 90° and then forcibly medially rotates the shoulder. This movement pushes the supraspinatus tendon against the anterior surface of the coracoacromial ligament and coracoid process.

The test can be performed in different degrees of forward flexion

(vertically “circling the shoulder”) or horizontal adduction (horizontally “circling the shoulder”). 

Pain indicates a positive test for supraspinatus paratenonitis / tendinosis or secondary impingement.