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Orthopade. 2017 Apr;46(4):373-386. doi: 10.1007/s00132-017-3402-x.

[Impingement syndromes of the shoulder].

[Article in German]

Author information

1
Abteilung für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, 81675, München, Deutschland.
2
Abteilung für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, 81675, München, Deutschland. sepp.braun@tum.de.

Abstract

In addition to tears of the rotator cuff, isolated impingement syndrome of the shoulder is the most common diagnosis in shoulder disorders. This is of high relevance in orthopedic sports medicine. In fact, impingement of the shoulder is not the diagnosis but rather a symptom of a functional or even a structural pathology. Detailed knowledge about the different types of impingement and the underlying causes is essential to provide adequate treatment. Primarily, impingement of the shoulder should be treated nonoperatively. However, if there is no clinical improve despite adequate conservative treatment, there is usually a structural pathology which cannot be adequately compensated for and surgical treatment may be necessary. In the case of severe structural pathologies, such as a full-thickness tear of the rotator cuff, a subsequent surgical treatment may be indicated.

KEYWORDS:

Humeral head; Impingement; Instability; Rotator cuff; Subacromial decompression

PMID:
28239741
DOI:
10.1007/s00132-017-3402-x
[Indexed for MEDLINE]

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