Clinical recommendation	Evidence rating	References
All patients should receive radiographs as part of the initial work-up for chronic shoulder pain.	C	23
Further testing of chronic shoulder pain, using imaging*, should be performed when the diagnosis remains unclear or the outcome would change management.	C	23, 24
If acromioclavicular osteoarthritis is suspected, the acromioclavicular joint should be assessed for tenderness, and a cross-body adduction test should be performed to help confirm the diagnosis.	C	16, 18
When rotator cuff injury is suspected, assess for night pain and pain with overhead activity.	C	10
When the patient has a painful shoulder with severely limited active and passive ranges of motion, a diagnosis of adhesive capsulitis should be considered.	C	8, 9