Shoulder impingement syndrome

Koester, Michael C.; George, Michael S.; Kuhn, John E.

doi:10.1016/j.amjmed.2005.01.040

Cited by 136 publications

(99 citation statements)

References 8 publications

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“…exacerbated by lying on the affected shoulder. or sleeping with the affected arm overhead [3]. Research on the four most common sleeping positions concluded that subacromial pressure on the rotator cuff is significantly reduced when patients sleep in a supine position compared with a prone or side position.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, there are lots of studies with various treatment options; some of them using one physical agent or combination of physical agents, others are placebo controlled or comparisons with each other [3][4][5][6][7][8]. In these studies, there are conflicting results about the effectiveness of ultrasound in the management of SIS.…”

Section: Introductionmentioning

confidence: 99%

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The Importance of Night Pain for the Effectiveness of Theurapotic Ultrasound in the Sub acromial Impingement Syndrome: A Randomized Controlled Trial

Özbayrak¹,

Akgün²

2017

Physiother Rehabil

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Objective: The aim of this study is to assess the importance of night pain for the effectiveness of therapeutic ultrasound in treating Subacromial Impingement Syndrome (SIS). Methods:In this double-blind, placebo controlled study, patients with SIS accompanying with night pain were evaluated. The cases were divided as A and B groups randomly. Group A, received standard conservative treatment and additional ultrasound or placebo ultrasound randomly while having night pain. On the other hand, group B, received cold application and same standard conservative treatment. When the night pain subsided, ultrasound or placebo ultrasound was given randomly. The cases were evaluated with visual analogue scale, shoulder disability index and Constant Murley functional assessment scale during follow ups. Results:In group A, statistically meaningful improvement in resting, movement and night pain, disability and functionality were detected. However there were no statistically important differences between cases receiving ultrasound or placebo ultrasound. There were statistically important improvement in resting and movement pain, disability and fuctionality of group B cases. But with ceasing the cold application and starting either of ultrasound or placebo ultrasound, some increase in night pain was seen. There were no statistically important difference between ultrasound and placebo ultrasound. Conclusion:Adding ultrasound to the standard conservative treatments in SIS patients with or without night pain makes no additional benefit.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Importance of Night Pain for the Effectiveness of Theurapotic Ultrasound in the Sub acromial Impingement Syndrome: A Randomized Controlled Trial

Özbayrak¹,

Akgün²

2017

Physiother Rehabil

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“…This disease is the most common shoulder disease diagnosed in primary care institutions, accounting for 44% to 65% of all shoulder pains. 4,5) SAIS may have internal causes, such as rotator cuff hypertrophy, rotator cuff calcium deposit, and hypertrophy of structures that pass underneath the coracoacromial arch, including the subacromial bursa, as well as external causes, such as subacromial osteophytes, acromial fracture, os acromiale, osteophytes in the acromioclavicular joint, and exostosis of the humeral greater tubercle. In particular, the anteroinferior acromion that connects to the CAL has received attention as an important factor in the pathogenesis of SAIS in the rotator cuff.…”

Section: Discussionmentioning

confidence: 99%

Ossification of the Coracoacromial Ligament in Subacromial Impingement Syndrome: A Case Report

Moon¹,

Hwang²,

Kim

et al. 2017

Clinics in Shoulder and Elbow

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Here, a case of a 59-year-old man with rotator cuff tear and impingement syndrome caused by an ossified coracoacromial ligament is presented. Ossification of the coracoacromial ligaments can occur because of degenerative changes due to trauma or repeated stress, which can lead to impingement syndrome. Therefore, when coracoacromial ligament ossification is present, rotator cuff damage due to impingement syndrome should be considered. Here, we conducted arthroscopic subacromial decompression, removal of the ossified coracoacromial ligament, and supraspinatus and subscapularis tendon repairs. We achieved satisfactory surgical outcomes without relapse; therefore, we report this case with a literature review. The coracoacromial ligament (CAL) forms the coracoacromial arch, which together with the acromion and coronoid processes act as resistance structures against superior translation of the humeral head. The CAL fibers, which are spread out underneath the acromion, are very rigid and inelastic. These fibers are known to cause subacromial impingement syndrome (SAIS). 1)In rare cases, calcification and ossification occur in the CAL, which may be caused by chronic degenerative changes to the CAL because of trauma, repeated stress or abnormal calcium and phosphorus metabolism.2,3) These serve as diagnostic clues to shoulder impingement syndrome and/or rotator cuff damage. 1)We experienced a case of a 59-year-old man with rotator cuff tear and impingement syndrome caused by an ossified CAL. We conducted arthroscopic subacromial decompression, removal of the ossified CAL, and supraspinatus and subscapularis tendon repairs. We achieved satisfactory surgical outcomes without relapse; therefore, we report this case with a literature review. Case ReportA 59-year-old male patient was admitted with chief complaints of sharp pain and night pain in the right shoulder, which he experienced after playing golf a week earlier. Although the patient did not have any specific medical history, he often played golf, which required frequent use of his shoulders. The patient had complained of intermittent right shoulder pain that started 6 months earlier and had not improved, despite conservative treatment at a private hospital.Upon physical examination, sharp pressure in the anterior CAL of the right shoulder was palpable, while the range of motion (ROM) in the shoulder was reduced to a forward flexion of 120° and abduction of 90°. The patient tested positive on the painful arc, empty can, and Neer and Hawkins impingement tests, which are typical signs of impingement syndrome (Constant score, 42 points). The preoperative blood tests revealed no specific findings.On the plain radiograph, a pillar-shaped ossification of the CAL was observed between the coronoid process and acromion

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“…SIS encompasses several types of subacromial pathology including subacromial bursitis, inflammation of rotator cuff tendons, calcifying tendinitis, or even partial or total rupture of rotator cuff tendons. These various problems may cause similar symptoms and may often be distinguished from one another only through various imaging studies or an arthroscopic examination [3].…”

Section: Introductionmentioning

confidence: 99%

Improvement in Functional Ability and Quality of Life Takes Place among Patients with Supraspinatus Tendinitis Regardless of the Type of Intervention

Nyman

Palenius

Panula

et al. 2012

ISRN Rehabilitation

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Objectives. The purpose of this study is to investigate the functional ability and state of health before and after three different treatments of patients (n = 156) with shoulder problems. Design. This is a comparative study using convenience sampling and Shoulder Rating Questionnaire, the Short Form-36 Health Survey self-evaluation questionnaires, and metabolic equivalent (MET), prior to and after intervention. The patients in Group 1 had an arthroscopic operation while Group 2 had an open acromioplasty. The patients in Group 3 had merely received conservative treatment. Results. Improvement has occurred regardless of the type of intervention. However, a change is notable less evident in the Conservative group, which at least in part can be explained by their higher initial scores (measurement 1); their situation has simply been better already from the start, and this is perhaps why they have not been placed onto an operation waiting list. Conclusion. Even if conservative treatment appears to result in comparatively poorer outcomes, the role of physiotherapy should not be disregarded. Physiotherapy cannot replace essential surgical operations, but physiotherapy is able to significantly alleviate patients' experiences of pain.

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Shoulder impingement syndrome

Cited by 136 publications

References 8 publications

The Importance of Night Pain for the Effectiveness of Theurapotic Ultrasound in the Sub acromial Impingement Syndrome: A Randomized Controlled Trial

The Importance of Night Pain for the Effectiveness of Theurapotic Ultrasound in the Sub acromial Impingement Syndrome: A Randomized Controlled Trial

Ossification of the Coracoacromial Ligament in Subacromial Impingement Syndrome: A Case Report

Improvement in Functional Ability and Quality of Life Takes Place among Patients with Supraspinatus Tendinitis Regardless of the Type of Intervention

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