A 45-year-old woman presented to the emergency department with a 2-day history of severe left shoulder pain made worse with movement. Emergency department (ED) bedside point-of-care static and dynamic ultrasound examination of the supraspinatus tendon revealed supraspinatus tendon calcification with impingement syndrome, and the patient was urgently referred to orthopedics after ED pain control...

Internal impingement is a commonly described cause of shoulder pain in the overhead athlete, particularly in tennis players. Three shoulder dysfunctions, often correlated with internal impingement symptoms, require attention in the rehabilitation strategy of internal impingement in the tennis player: (1) acquired glenohumeral anterior instability, (2) loss of internal rotation range of motion, ...

Objective: Subacromial impingement syndrome has been described as the most common form of shoulder pathology. The literature suggests that the aetiology of subacromial impingement is multifactorial. These causes include anatomical and mechanical factors, rotator cuff pathology, glenohumeral instability, restrictive processes of the glenohumeral joint, imbalance of the muscles controlling the sc...

The diagnosis of coracoclavicular articulation was made in an elderly woman, who complained of bilateral anterior shoulder pain with impingement. This congenital pseudo-articulation is rarely symptomatic and is usually an incidental radiological finding. Surgical excision of the prominent bony projection, arising from the inferior surface of the clavicle at the level of the coracoid process, re...

We examined 524 patients with whiplash injuries for delayed onset of shoulder pain in order to establish whether this was due to impingement syndrome. A total of 476 patients (91%) responded to a questionnaire of which 102 (22%) were entered into the study; 43 had both a positive impingement sign and Neer test. The incidence of impingement-type pain was 9%. After treatment 23 patients (5%) had ...

Definition One of the challenges for the diagnosis of subacromial impingement is the multiplicity of conditions with similar symptoms and variable clinical presentation. With no single aetiology, the clinical diagnosis of subacromial impingement has also suffered from a “lack of consensus on diagnostic criteria, case definition and even nomenclature”. For want of clarity, we suggest the followi...

Frozen shoulder can be either primary (idiopathic) or secondary. Secondary frozen shoulder is defined as that associated with trauma; rotator cuff disease and impingement; cardiovascular disease; hemiparesis; or diabetes (although some classify this in diabetics as primary frozen shoulder). The incidence of frozen shoulder in people with diabetes is reported to be 10% to 36%, and these tend not...

PURPOSE To retrospectively and quantitatively analyze the acromial undersurface in three dimensions and to determine its association with impingement syndrome and rotator cuff tears. MATERIALS AND METHODS Institutional review board approval was received with exemption of informed consent for this retrospective HIPAA-compliant study. Magnetic resonance images were evaluated in 84 patients (63 ...

Shoulder pain is the third most common presenting complaint to the primary care practice. Age is a factor which plays an important role in predicting injuries. Clavicular fractures are usually traumatic. Shoulder dislocations are more common in teens to the fourth decade. Other conditions which can give rise to acute shoulder pain are impingement syndrome, frozen shoulder, and bursitis. Diagnos...