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==Planning==
===Indication===
Impingement syndrome can be diagnosed by a targeted medical history and physical examination,<ref>{{cite web|url=https://radiopaedia.org/articles/subacromial-impingement?lang=us|title=Subacromial impingement|author=Craig Hacking and Frank Gaillard|date=2019-03-06|website=[[Radiopaedia]]}}</ref><ref>{{cite web|url=https://stanfordhealthcare.org/medical-conditions/bones-joints-and-muscles/shoulder-impingement-syndrome.html|title=Shoulder Impingement Syndrome|website=[[Stanford University Medical Center]]|date=2019-03-06}}</ref> but it has also been argued that medical imaging, primarily [[projectional radiography]] ("X-ray") is a necessary part of the workup.<ref name="GarvingJakob2017">{{cite journal|last1=Garving|first1=Christina|last2=Jakob|first2=Sascha|last3=Bauer|first3=Isabel|last4=Nadjar|first4=Rudolph|last5=Brunner|first5=Ulrich H.|title=Impingement Syndrome of the Shoulder|journal=Deutsches Aerzteblatt Online|year=2017|issn=1866-0452|doi=10.3238/arztebl.2017.0765}}</ref>
===Method===
[[X-ray of the shoulder]] that should include:
* Frontal with and without external rotation of the shoulder
* '''Shape''' of the acromion, at least for the presence of any '''acromial spur'''
<gallery>
File:Flat acromion.jpg|Flat(type 1)<ref name=types group=notes>Generally, report the shape of the acromion in the form of type 1, 2 or 3 only if responding to an orthopedic clinic where this is the customary classification.</ref>File:Curved acromion.jpg|Curved(type 2)<ref name=types group=notes/>File:Hooked acromion.jpg|Hooked(type 3)<ref name=types group=notes/>
</gallery>
==Report==
*Either normal subacromial space, or a decrease thereof, with measurement of the spacein the latter case.
*Presence or absence of an acromial spur.
A more comprehensive report also mentions the :*The acromial shape regardless<ref name=types group=notes/>*Even the absence of osteoarthritis.
{{Reporting}}
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