Posterior superior internal impingement: an evidence-based review [corrected] - PubMed (original) (raw)
Review
Posterior superior internal impingement: an evidence-based review [corrected]
Alessandro Castagna et al. Br J Sports Med. 2010 Apr.
Erratum in
- Br J Sports Med. 2010 Jun;44(8):604. Marcopoulos, Nikolaos [corrected to Markopoulos, Nikolaos]
Abstract
Over the last decade, the concept of internal impingement has continued to evolve, and the frequency with which this condition is recognised continues to increase. This syndrome should be clearly differentiated from the classical (external) impingement that is thought to be caused by compression of the subacromial bursa, long head of the biceps tendon and rotator cuff (RC) by the coraco-acromial arch. Internal (posterosuperior) impingement syndrome is typified by a painful shoulder due to impingement of the soft tissue, including the RC, joint capsule and the posterosuperior part of the glenoid. The aetiology of this syndrome is unclear, but hypotheses include anterior shoulder instability or micro-instability, contracture of the posterior capsule, reduced humeral retroversion and scapular dyskinesis. Non-operative therapy represents the first line of treatment for this syndrome and includes the management of pain, stretching of the posterior capsule and a muscle strengthening programme. Surgical treatment should only be considered when conservative management fails. A number of different surgical procedures have been proposed, but the results are variable. The success rate is generally improved when the subtle instability, associated with internal impingement, is also addressed.
Similar articles
- Typical and atypical shoulder impingement syndrome: diagnosis, treatment, and pitfalls.
Buss DD, Freehill MQ, Marra G. Buss DD, et al. Instr Course Lect. 2009;58:447-57. Instr Course Lect. 2009. PMID: 19385554 - The diagnosis and treatment of anterior instability in the throwing athlete.
Kvitne RS, Jobe FW. Kvitne RS, et al. Clin Orthop Relat Res. 1993 Jun;(291):107-23. Clin Orthop Relat Res. 1993. PMID: 8504590 Review. - Physical tests for shoulder impingements and local lesions of bursa, tendon or labrum that may accompany impingement.
Hanchard NC, Lenza M, Handoll HH, Takwoingi Y. Hanchard NC, et al. Cochrane Database Syst Rev. 2013 Apr 30;2013(4):CD007427. doi: 10.1002/14651858.CD007427.pub2. Cochrane Database Syst Rev. 2013. PMID: 23633343 Free PMC article. Review. - Internal impingement of the shoulder.
Burkhart SS. Burkhart SS. Instr Course Lect. 2006;55:29-34. Instr Course Lect. 2006. PMID: 16958436 Review. - [Posterosuperior impingement of the shoulder in the athlete: results of arthroscopic debridement in 75 patients].
Riand N, Boulahia A, Walch G. Riand N, et al. Rev Chir Orthop Reparatrice Appar Mot. 2002 Feb;88(1):19-27. Rev Chir Orthop Reparatrice Appar Mot. 2002. PMID: 11973531 French.
Cited by
- Understanding the Cheerleader as an Orthopaedic Patient: An Evidence-Based Review of the Literature.
Xu AL, Beck JJ, Sweeney EA, Severson MN, Page AS, Lee RJ. Xu AL, et al. Orthop J Sports Med. 2022 Jan 18;10(1):23259671211067222. doi: 10.1177/23259671211067222. eCollection 2022 Jan. Orthop J Sports Med. 2022. PMID: 35083360 Free PMC article. Review. - High-resolution Sonographic Measurements of Lower Extremity Bursae in Chinese Healthy Young Men.
Gao YY, Wu CQ, Liu WX, Zhang L, Li CL. Gao YY, et al. Chin Med J (Engl). 2016 Feb 5;129(3):309-12. doi: 10.4103/0366-6999.174487. Chin Med J (Engl). 2016. PMID: 26831233 Free PMC article. - The painful shoulder: shoulder impingement syndrome.
Khan Y, Nagy MT, Malal J, Waseem M. Khan Y, et al. Open Orthop J. 2013 Sep 6;7:347-51. doi: 10.2174/1874325001307010347. eCollection 2013. Open Orthop J. 2013. PMID: 24082973 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical