Limited shoulder movement Limited shoulder internal rotation 2025-02-22T15:17:09Z Conditions characterized by this finding include shoulder internal impingement syndrome, pectoralis major rupture, proximal humeral epiphysiolysis, and rotator cuff tear arthropathy. Difficulty rotating the lower part of the arm towards the body (tested with the elbow flexed and the elbow held next to the side of the body or shoulder 90 degrees abducted to the side) secondary to pain, weakness, or mechanical block. Shoulder internal rotation limited