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[Subacromial impingement. Evaluating the concept--diagnosis--therapeutic concepts]
Fortschritte Der Medizin
|May 30, 1995
Summary
Subacromial impingement, a cause of rotator cuff damage, presents with shoulder pain when raising the arm. Diagnosis is clinical, with imaging supporting the assessment. Treatment ranges from conservative care to surgery.
Area of Science:
- Orthopedics
- Sports Medicine
- Rheumatology
Background:
- Subacromial impingement is a common cause of shoulder pain and rotator cuff damage.
- It is characterized by reduced space in the subacromial region, leading to various pathologies.
Purpose of the Study:
- To describe the clinical presentation, diagnosis, and management of subacromial impingement.
- To differentiate between the primary extrinsic, primary intrinsic, and secondary forms of impingement.
Main Methods:
- Clinical examination, focusing on pain during arm elevation and painful arc syndrome.
- Review of diagnostic imaging techniques and their role in the diagnostic approach.
Main Results:
- Diagnosis is primarily clinical, with characteristic pain patterns.
- Imaging modalities aid in confirming the diagnosis and identifying the cause.
- Three forms exist: primary extrinsic, primary intrinsic, and secondary impingement.
Conclusions:
- Subacromial impingement requires a clinical diagnosis supported by imaging.
- Initial management is conservative, with surgical intervention considered for persistent or severe cases.
- Understanding the specific type of impingement guides treatment strategies.