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Superior glenoid impingement. Current concepts

C M Jobe1

  • 1Department of Orthopaedic Surgery, Loma Linda University, School of Medicine, CA 92354, USA.

Clinical Orthopaedics and Related Research
|September 1, 1996
PubMed
Summary

Superior glenoid impingement is a specific shoulder diagnosis that is replacing the general impingement syndrome. Treatment focuses on strengthening rotator cuff and scapular muscles, with anterior reconstruction for ligament damage.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Shoulder Surgery

Background:

  • Impingement syndrome is an evolving diagnostic category in shoulder medicine.
  • Superior glenoid impingement represents a more precise diagnosis within this spectrum.
  • Understanding its specific pathology is crucial for effective treatment.

Purpose of the Study:

  • To review the concept development of superior glenoid impingement.
  • To describe the clinical presentation of this condition.
  • To outline current treatment recommendations.

Main Methods:

  • Literature review focusing on diagnostic criteria and treatment strategies for superior glenoid impingement.
  • Analysis of the anatomical structures involved in the condition.

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  • Synthesis of common clinical findings and therapeutic approaches.

    • Main Results:

    • Superior glenoid impingement involves structures such as the superior labrum, rotator cuff, and glenohumeral ligament.
    • A common presentation is chronic dorsal shoulder pain in throwing athletes with a positive relocation test.
    • Treatment primarily involves strengthening the rotator cuff and scapular rotators.

    Conclusions:

    • Superior glenoid impingement is a distinct clinical entity requiring specific management.
    • Strengthening exercises are the cornerstone of conservative treatment.
    • Anterior reconstruction may be necessary for cases with significant inferior glenohumeral ligament laxity.