Coracoid impingement syndrome, rotator interval reconstruction, and biceps tenodesis in the overhead athlete

Paulson, Melyssa M.; Watnik, Neil F.; Dines, David M.

doi:10.1053/otsm.2000.17780

Cited by 9 publications

(14 citation statements)

References 26 publications

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“…The tendon was fixed on the bicipital groove of the humerus using 2 nonabsorbable suture anchors (3.5mm corkscrew, Arthrex) (extraosseous tenodesis). 16 Animals were sacrificed at weeks 3, 6, and 9, so that 5 specimens could be obtained for each technique at every test period. One specimen of each group was preserved for histologic evaluation, and tension tests were performed on the remaining 4.…”

Section: Methodsmentioning

confidence: 99%

Time-Dependent Changes in Failure Loads of 3 Biceps Tenodesis Techniques

et al. 2005

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Section: Methodsmentioning

confidence: 99%

Time-Dependent Changes in Failure Loads of 3 Biceps Tenodesis Techniques

et al. 2005

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“…Clinical findings suggestive of subcoracoid impingement syndrome include anterior shoulder pain exacerbated by forward flexion and internal rotation, localized tenderness of the coracoid process, and a positive subcoracoid block (8, 9). In a study using cine MRI, the coracohumeral distance in asymptomatic individuals averaged 11 mm in maximum internal rotation (10).…”

Section: The Coracoid Processmentioning

confidence: 99%

“…In a study using cine MRI, the coracohumeral distance in asymptomatic individuals averaged 11 mm in maximum internal rotation (10). In symptomatic patients, impingement of the subscapularis tendon between the lesser tuberosity and the coracoid process in internal rotation was identified with a mean coracohumeral distance of 5.5 mm (9). The coracohumeral interval and the presence of subcoracoid impingement are easily assessed on axial and sagittal MR images (11).…”

Section: The Coracoid Processmentioning

confidence: 99%

“…Some individuals with rotator interval abnormalities do not have glenohumeral instability (58). Anterior extension of supraspinatus tearing through the rotator cuff interval involving the cranial fibers of the subscapularis may be caused by anterosuperior internal impingement during flexion and internal rotation of the shoulder (9). The association between subcoracoid bursal effusions and tears of the anterior rotator cuff and the rotator interval has been reported (40).…”

Section: Rotator Intervalmentioning

confidence: 99%

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Pain related to rotator cuff abnormalities: MRI findings without clinical significance

Bencardino

Beltrán

2010

Magnetic Resonance Imaging

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MRI has become an important diagnostic tool in the evaluation of rotator cuff pathology and the technology continues to evolve. Direct MR arthrography, diagnosisspecific sequencing such as fat suppression, special positioning such as abducted externally rotated (ABER) views and ultra high field magnets allow for an unprecedented level of detail in imaging. In this article, we review MRI findings in patients with rotator cuff abnormalities that are anatomic variants or incidental findings. Although MRI findings may be diagnostic in some cases, we find that clinical correlation with history and physical examination is critical to differentiate between anatomic variants, incidental findings, and true pathology. We conclude that good communication between the orthopedic surgeon and the radiologist is necessary to optimize diagnostic yield.

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“…15 Patient with coracohumeral impingement syndrome do not usually have rotator cuff tears. 16 However, the presence of coracohumeral impingement increases the likelihood of a subscapularis tear. 13…”

Section: Primary External Impingementmentioning

confidence: 99%

Imaging of the Overhead Throwing Athlete

Ouellette

Kassarjian

Tétreault

et al. 2005

Semin Musculoskelet Radiol

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Knowledge of overhead throwing biomechanics is crucial to understand specific injuries encountered in throwing athletes on diagnostic imaging. Most specific injuries of overhead throwing athletes occur at the shoulder and elbow. Throwing athletes are susceptible to rotator cuff tears from tensile overload and external and internal impingement. The labrum is also commonly degenerated or torn secondary to overuse syndrome, internal impingement, and microtrauma. The elbow is typically injured secondary to excessive valgus forces during throwing. The ulnar collateral ligament, ulnar nerve, and common flexor tendon origin are all at increased risk of injury. Capitellar osteochondral injuries and loose intra-articular bodies are also frequent. Knowledge of injury pathophysiology is crucial to understanding the treatment rationale in throwing athletes.

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Coracoid impingement syndrome, rotator interval reconstruction, and biceps tenodesis in the overhead athlete

Cited by 9 publications

References 26 publications

Time-Dependent Changes in Failure Loads of 3 Biceps Tenodesis Techniques

Time-Dependent Changes in Failure Loads of 3 Biceps Tenodesis Techniques

Pain related to rotator cuff abnormalities: MRI findings without clinical significance

Imaging of the Overhead Throwing Athlete

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