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Rotator cuff tendinopathy — SCE Rheumatology MCQ

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EasyOsteoarthritis and soft tissue rheumatologyRotator cuff tendinopathySCE Rheumatology

A 48-year-old man has lateral shoulder pain worse with overhead activity. Examination shows painful arc and positive resisted abduction are present. Investigations show passive glenohumeral movement is preserved. What is the most likely diagnosis?

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Correct answer: ERotator cuff tendinopathy

The pain pattern, examination and investigations are most consistent with Rotator cuff tendinopathy. Inflammatory or septic causes would usually show more synovitis, systemic features or a different distribution. Soft-tissue rheumatology diagnoses rely on reproducing symptoms with targeted examination.

Reference: NICE NG226; NICE CKS; BNF