Shoulder Impingement Syndrome

Shoulder impingement is the most common diagnosis for shoulder pain. Shoulder impingement syndrome has been scrutinized as a misleading "umbrella" term, due to its vague and nonspecific context. It is better subcategorized into subacromial, internal, and subcoracoid impingement. The evalua...

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Bibliographic Details
Published inPhysical medicine and rehabilitation clinics of North America Vol. 34; no. 2; p. 311
Main Authors Horowitz, Evan H, Aibinder, William R
Format Journal Article
LanguageEnglish
Published United States 01.05.2023
Subjects
Humans
Magnetic Resonance Imaging
Radiography
Rotator Cuff - surgery
Shoulder Impingement Syndrome - diagnostic imaging
Shoulder Impingement Syndrome - therapy
Shoulder Pain - surgery
Impingement
Shoulder
Acromion
Bursitis
Subacromial
Subcoracoid
Rotator cuff
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Summary:Shoulder impingement is the most common diagnosis for shoulder pain. Shoulder impingement syndrome has been scrutinized as a misleading "umbrella" term, due to its vague and nonspecific context. It is better subcategorized into subacromial, internal, and subcoracoid impingement. The evaluation and treatment algorithm for each is grossly similar. A thorough history, focused physical examination, and standard radiographs are the first steps. Advanced imaging with MRI or ultrasound may be useful. The mainstay of treatment includes physical therapy, anti-inflammatory medications, and injections. Surgical treatment is reserved for refractory cases, and includes decompression, debridement, and/or repair of injured structures.
ISSN:1558-1381
DOI:10.1016/j.pmr.2022.12.001