Shoulder Impingement Syndrome (Subscribe)  

Indications James R. Andrews, M.D. and Scott David Martin, M.D. 2001 Video Journal of Orthopaedics (needs registration or $35 PPV) Expert

[Categories]

- OCOSH Classification: Joint Diseases: Shoulder Impingement Syndrome 
- OCOSH Classification: Orthopaedic Procedures: Arthroscopy 
- OCOSH Classification: Orthopaedic Procedures: Shoulder Surgery 

Painter described calcification in the shoulder in 1907. Codman established that the calcification was within the tendons of the rotator cuff. Calcifying tendinitis of the shoulder is characterized by the presence of macroscopic deposits of hydroxyapatite (a crystalline calcium phosphate) in any tendon of the rotator cuff.1 This article addresses...

In order to determine whether adhesion of the subacromial bursa leads to impingement, we measured the subacromial contact pressures before and after release of adhesion of this bursa.
We suggest that adhesion of the subacromial bursa increases impingement between the acromion and the insertion of rotator cuff tendons.
Adhesion of the subacromial...

- deposits lie in the rotator cuff and contain H[2O, CO[3, & PO[4];
- usually does not occur until 4 th decade;
- diabetic patients are more likely to develop asymptomatic rotator ...

CONCLUSION: Increased bursa thickness in the symptomatic side may be an alternative sonographic indicator of subacromial bursitis and partial-thickness rotator cuff tears, even when measured to be less than 2 mm. Sonographic examination of subacromial bursa thickness is not an appropriate technique to differentiate the Neer stages I and II...

Our aim was to evaluate bursal involvement at different stages of the impingement syndrome as judged by conventional histopathological examination and expression of tenascin-C, which is known to reflect active reparative processes in different tissues and disorders.
Tenascin-C seems to be a general indicator of bursal reaction, being especially pronounced at...

indications:
- impingement syndrome:
- patients w/ a stable impingement syndrome w/ good shoulder function should participate in a formal rehabilitation program for 6 months;
...

July 7, 2009 — Rotator cuff calcific tendonitis may respond to ultrasound-guided percutaneous treatment, according to the results of a nonrandomized controlled trial reported in the July issue of Radiology.

Rotator cuff injuries are a common cause of shoulder pain in people of all age groups. They represent a spectrum of disease, ranging from acute reversible tendonitis to massive tears involving the supraspinatus, infraspinatus, and subscapularis. Diagnosis is usually made through detailed history, physical examination, and often, imaging studies. Often, younger...

impingement syndrome describes pain in subacromial space when the humerus is elevated or internally rotated;
- during humeral flexion, the supraspinatus tendon and bursa become entrapped between the anteroinferior corner of the acromion (and CA ligament) and the greater tuberosity;
- this syndrome is...

A sample of 207 men from the construction industry was studied using an epidemiological technique of cross-sectional design to investigate if sport activities involving the arms increase the risk of developing shoulder tendinitis or osteoarthrosis of the acromioclavicular joint. The relative risk for shoulder tendinitis was estimated to be 9.5...

CONCLUSION: Subacromial injection of corticosteroids and local anesthesia is an effective therapy for the treatment of symptomatic subacromial pathology, such as impingement pain, tendonitis and bursitis. The injection can substantially reduce pain and increase range of motion of the shoulder. If there is no improvement following injections, a rotator cuff...

Supraspinatus tendonitis is often associated with shoulder impingement syndrome. The common belief is that impingement of the supraspinatus tendon leads to supraspinatus tendonitis (inflammation of the supraspinatus/rotator cuff tendon and/or the contiguous peritendinous soft tissues), which is a known stage of shoulder impingement syndrome (stage II) as described originally by...

Sandy Kirkley 2000. Web Archive Copy. Last posted 2006

Periarticular shoulder disorders are common in clinical practice, and diagnosis is often difficult. Medicare statistics indicate that between 2001 and 2006 the use of diagnostic shoulder ultrasonography increased significantly. Rotator cuff disease, shoulder impingement syndrome and subacromial bursitis are among the most common diagnoses reported on shoulder ultrasonography. Shoulder ultrasonography...