DiagnosisFindings consistent with diagnosisFindings inconsistent with diagnosisImaging
Acromioclavicular joint osteoarthritisPain at acromioclavicular joint; positive cross-body adduction test; may have history of traumaNo pain with palpation at acromioclavicular joint; negative cross-body adductionRadiography shows osteoarthritis at acromioclavicular joint, some evidence of acromioclavicular separation
Adhesive capsulitisAge older than 40 years; decreased active and passive range of motion; history of diabetes or thyroid diseaseFull passive range of motion; no pain with movementsRadiography usually normal
Glenohumeral instabilityAge usually younger than 40 years; history of subluxation or dislocation, or generalized ligamentous laxity; positive apprehension testNegative apprehension testRadiography usually normal
Glenohumeral osteoarthritisAge older than 50 years; progressive pain; crepitus with range of motionAge younger than 50 years; normal radiographyRadiography shows narrowing of joint space, spurring, and osteophytes
Rotator cuff pathologyAge usually older than 40 years; pain with overhead activity; night pain; weakness; positive Hawkins' impingement test; and rotator cuff weaknessNo pain with overhead activities; no arm pain; no weakness with lift-off, external rotation, or empty-can testsRadiography may show humeral head sclerosis or cyst, loss of acromial-humeral interval; acromial spur