shoulder impingement syndrome

shoulder impingement syndrome

A pain syndrome caused by abrasion of the posterior glenoid rim and the inner rotator cuff (RC), which, with time, is accompanied by bursitis and tendinitis. 

Clinical findings
Posterosuperior impingement affecting the articular surface of RC, which occurs in athletes who have extensive overhead activities (e.g., baseball pitchers) with the joint in extension, abduction and external rotation.

Diagnosis
Physical exam (e.g., testing of range of motion), bone spurs by imaging.

Management
NSAIDs, stretching in a hot shower, steroid injections.
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References in periodicals archive ?
Shoulder impingement syndrome is usually treated by resting, use of NSAIDs, subacromial steroids injection, topical anaesthetics, hyaluronate, suprascapular nerve block and physiotherapy.
However, upon our arrival into the UK, once he started bowling, a different problem emerged, what we call a shoulder impingement syndrome, and he consulted with an orthopaedic specialist in London a few days ago."
Optimal management of shoulder impingement syndrome. Open Access J Sports Med 2014; 5: 13-24.
This study supported the use of manual therapies for shoulder impingement syndrome, rotator cuff-associated disorders, adhesive capsulitis, and nonspecific shoulder pain.
Subacromial decompression surgery for shoulder impingement syndrome is no more effective than placebo surgery, according to the Finnish Shoulder Impingement Arthroscopy Controlled Trial.
Credit to the two therapies in solving shoulder issues, including rotary cuff tear, is provided by two researches carried out by international teams: "Short-term Effects of High-Intensity Laser Therapy Versus Ultrasound Therapy in the Treatment of People With Subacromial Impingement Syndrome: A Randomized Clinical Trial" and "MLS[R] Laser Therapy in the treatment of patients affected by Tendinopathies." The first underlines how patients affected by subacromial shoulder impingement syndrome showed a greater pain reduction and a more marked improvement of the shoulder joint functionality and muscular strength after treatment with Hilterapia[R] compared with others treated by ultrasound.
Either way this may cause continuous postural lengthening and inhibition of the trapezius and levator scapulae, often resulting in cervical stiffness, (49) cervical myofascial tenderness and pain, (6, 15, 37-39) scapular dyskinesis and shoulder impingement syndrome, (6, 24-29, 34, 35, 40) and rotator cuff injuries.
A randomized, single-blinded, placebo-controlled clinical trial to evaluate the efficacy of chiropractic shoulder girdle adjustment in the treatment of shoulder impingement syndrome. J Am Chiropr Assoc.
A manual physical therapy approach versus subacromial corticosteroid injection for treatment of shoulder impingement syndrome: a protocol for a randomised clinical trial.
Evidence that central sensitisation is present in patients with shoulder impingement syndrome and influences the outcome after surgery.