Management Options for Shoulder Impingement Syndrome in Athletes: Insights and Future Directions
Autor: | Kevin Collon, Ioanna K Bolia, Frank A. Petrigliano, Jacob Bogdanov, Rae Lan |
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Rok vydání: | 2020 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty shoulder Population Physical examination Review Coracoid process 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation subcoracoid joint Medicine Humerus Rotator cuff Lesser Tuberosity subacromial impingement syndrome education 030222 orthopedics education.field_of_study impingement syndromes medicine.diagnostic_test business.industry Soft tissue 030229 sport sciences medicine.anatomical_structure athletes internal Shoulder Impingement Syndrome business human activities |
Zdroj: | Open Access Journal of Sports Medicine |
ISSN: | 1179-1543 |
Popis: | Athletes participating in overhead sports are at particularly high risk of shoulder impingement syndrome. Subcoracoid impingement is defined as impingement of the anterior soft tissues of the shoulder between the coracoid process and the lesser tuberosity. Subacromial impingement syndrome (SIS) occurs due to extrinsic compression of the rotator cuff between the humeral head and coracoacromial structures or intrinsic degeneration of the supraspinatus tendon and subsequent superior migration of the humerus. Internal impingement is a major cause of shoulder pain in overhead athletes, and it occurs due to repetitive impingement of the articular surface of the rotator cuff with the glenoid during maximum abduction and external rotation of the arm. When examining athletes with suspected impingement of the shoulder, it is important to discuss the sport-specific motion that regenerates the symptoms and perform a combination of physical examination tests to improve the diagnostic accuracy. Radiographic evaluation is recommended, and the extent of soft tissue abnormalities can be assessed on ultrasound or magnetic resonance imaging of the shoulder. Management of shoulder impingement syndrome can be conservative or operative, based on the severity and chronicity of symptoms and the associated structural abnormalities. This review provides an update on the management of SIS, subcoracoid impingement, and internal impingement in the athletic population. |
Databáze: | OpenAIRE |
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