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Stage II is characterized by fibrosis of the glenohumeral capsule and subacromial bursa and tendonitis of the involved tendons. Patients usually demonstrate a loss of active and passive range of motion because of capsular fibrosis. Stage III is the most difficult to treat and is characterized by disruption of the rotator cuff tendons. This includes rotator cuff tears, biceps rupture, and bone changes. Since this is a continuous disease process, there is often overlap of signs and symptoms (Hawkins and Abrams 1987).
For descriptive purposes, factors related to shoulder impingement can be divided into intrinsic and extrinsic categories...
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