Shoulder Impingement Syndromes: Implications on Physical Therapy Examination and Intervention

Lazaro, Rolando T.

doi:10.1298/jjpta.8.1

Cited by 11 publications

(11 citation statements)

References 24 publications

(32 reference statements)

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“…However, since articular side SST tears in our cases were 1.8 times more frequent compared to bursal side tears, it is possible that internal impingement may be more frequent cause of SST tear than external impingement. Further, it is known that subacromial external impingement may cause supraspinatus tendinosis 48 , however, dynamic assessment did not identify any external impingement in our cases. The associated SASD bursitis present in about a-third of patients of RCTs in this study per se does not rule out the possibility of underlying chronic external impingement in pathogenesis of RCTs.…”

Section: Supraspinatus Tendon Abnormalitiescontrasting

confidence: 65%

“…It was observed that a large number (≈86.6%) of patients identified with abnormality in SubT in present study also had an underlying pathology of SST in the form of PTT or FTT or tendinosis of SST. The explanation for coexistence of SST and SubT abnormalities have been provided by Lazaro 48 that it may be due to underlying subacromial impingement, resulting in SST abnormality and coexistent sub-coracoid impingement leading to pathology of SubT. US was comparable to MRI for detection of PTT and tendinosis of SubT.…”

Section: Subscapularis Tendon Abnormalitiesmentioning

confidence: 87%

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Diagnostic accuracy of ultrasound in rotator cuff and associated non-rotator cuff pathologies of shoulder joint compared to magnetic resonance imaging

Gupta¹,

Nayak²,

Bahinipati³

2022

JRPMS

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Objectives: The present study was carried out to evaluate diagnostic accuracy of ultrasound (US) in delineating various rotator cuff and associated non rotator cuff pathologies (RCPs) of shoulder joint compared to Magnetic Resonance Imaging (MRI). Methods: Fifty consecutive symptomatic subjects in age-group 18-75 years (mean ±SD: 56.0±13.6 years; 39-male, 11-female) were evaluated. US performer and MRI reporting radiologists were blinded to results of each-other. The sensitivity, specificity, and accuracy of US was measured for diagnosing various musculo-tendinous pathologies of shoulder against MRI gold standard. Results: MRI detected RCPs in all subjects while US was abnormal in 46(92%) cases. Supraspinatus was the most frequently affected tendon. Remarkably, 28% patient had polytendon abnormalities. US showed sensitivity of 84% and specificity of 87.5% for tendinosis; sensitivity of 78.1% and specificity of 94.4% for partial thickness tear (PTT) and 100% sensitivity and specificity for diagnosing full thickness tear. However, sensitivity of US for diagnosing PTT of infraspinatus tendon, subscapularis tendinosis and teres-minor atrophy was low. US had high specificity for diagnosing non-RCPs but sensitivity was low. Conclusions: A normal shoulder US may not rule out with certainty some rotator cuff and associated non-rotator cuff abnormalities. It is suggested to search for polytendon abnormalities which may be missed.

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Section: Supraspinatus Tendon Abnormalitiescontrasting

confidence: 65%

Section: Subscapularis Tendon Abnormalitiesmentioning

confidence: 87%

Diagnostic accuracy of ultrasound in rotator cuff and associated non-rotator cuff pathologies of shoulder joint compared to magnetic resonance imaging

Gupta¹,

Nayak²,

Bahinipati³

2022

JRPMS

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“…SAIS is mostly diagnosed in the sixth decade of life [1,3,4]. This syndrome usually causes pain on arm elevation Original Article https://doi.org/10.5115/acb.20.166 pISSN 2093-3665 eISSN 2093-3673 thus limits range of motion of the arm [5,6]. In some cases, the symptoms are relieved by conservative treatment alone.…”

Section: Introductionmentioning

confidence: 99%

“…Almost all diagnosed shoulder impingement syndrome is subacromial type. Other types are very rare [ 1 , 2 , 5 , 6 ]. Subacromial impingement syndrome (SAIS) is the syndrome associated with compression and inflammation of supraspinatus tendon as it passes through subacromial space.…”

Section: Introductionmentioning

confidence: 99%

Acromial morphology and morphometry associated with subacromial impingement syndrome

2020

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Acromion is a major associated structure of subacromial impingement syndrome, one of the most common diagnoses in chronic shoulder pain worldwide. The aims of this study are to study morphometry of acromion and to find risk group using acromial morphometry. Total samples were 392 scapulae. The samples were of both sexes, ranging from the age of 31 to 90. Acromion type and osteophytes were observed. Acromial parameters were measured. The relationships were analyzed among acromion type, acromial osteophyte, acromial parameters, age group, sex and side. Curved acromion had the highest prevalence in all age groups. Hooked acromion had the second highest prevalence since the age of 41. Hooked acromion prevalence was higher in male than in female. The highest prevalence of acromial osteophytes was on anteroinferior surface in all age group. The prevalence of acromial osteophytes on anteroinferior surface and acromial facet increased with age. In addition, acromion type was associated with only osteophytes on anteroinferior surface of acromion. Anterior one-third acromial thickness in the age of 31 to 50 was different from those of 51 to 90. There are differences between all parameters and sexes, but not side. General population with age above 50 and concerned male group with age above 40 who have chronic shoulder pain should be investigated for subacromial impingement syndrome. Surgical treatment is recommended because hooked acromion and osteophytes are mostly the root of problem.

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“…Shoulder pain is one of the most common musculoskeletal pains [ 1 ], with a prevalence ranging from 7 to 27% among adults younger than 70 years old [ 2 ]. Regarding the possible origin of this disorder, subacromial pain syndrome has been pointed out as one of the most frequent causes [ 3 ]. This disorder is defined as a shoulder problem, usually unilateral and non-traumatic, which is located around the acromion, and that is frequently aggravated when patients raise their arms [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Dry Needling Alone or in Combination with Exercise Therapy versus Other Interventions for Reducing Pain and Disability in Subacromial Pain Syndrome: A Systematic Review and Meta-Analysis

Para-García

García-Muñoz

López-Gil

et al. 2022

IJERPH

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This systematic review and meta-analysis examined the effects of dry needling alone or in combination with exercise therapy for reducing pain and disability in people with subacromial pain syndrome. Systematic searches of randomized clinical trials (RCTs) were performed in five different databases. A meta-analysis was carried out with the data obtained, and the risk of bias and quality of the studies was assessed using the Cochrane ROB 2.0 and GRADE tools. Finally, five RCTs (n = 315) were included in the meta-analysis and qualitative analysis. Our results determine that dry needling alone or combined with exercise therapy showed improvements in pain in the short-term (5RCTs: SMD: −0.27; [−0.49, −0.05]; low-quality) and mid-term (4RCTs: SMD: −0.27; [−0.51, −0.04]; low-quality) compared to a range of interventions. However, no differences were shown for disability at short-term (3 RCTs: SMD: −0.97; [−2.04, 0.11]; very-low quality) and mid-term (3 RCTs: SMD: −0.85; [−1.74, 0.04]; very-low quality). Dry needling alone or in combination with exercise therapy may result in a slight reduction in pain in the short-term and mid-term. However, the evidence about the effect of this therapy on disability in the short- or mid-term is very uncertain compared to the range of interventions analyzed in this systematic review (Registration: INPLASY202260112).

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Shoulder Impingement Syndromes: Implications on Physical Therapy Examination and Intervention

Cited by 11 publications

References 24 publications

Diagnostic accuracy of ultrasound in rotator cuff and associated non-rotator cuff pathologies of shoulder joint compared to magnetic resonance imaging

Diagnostic accuracy of ultrasound in rotator cuff and associated non-rotator cuff pathologies of shoulder joint compared to magnetic resonance imaging

Acromial morphology and morphometry associated with subacromial impingement syndrome

Dry Needling Alone or in Combination with Exercise Therapy versus Other Interventions for Reducing Pain and Disability in Subacromial Pain Syndrome: A Systematic Review and Meta-Analysis

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