Ultrasonography in the shoulder impingement syndrome.
Subacromial Impingement Syndrome: effectiveness of pharmaceutical interventions-nonsteroidal antiinflammatory drugs, corticosteroid, or other injections: a systematic review.
(21) In addition, a strong positive correlation was identified between the splits view HCP and alpha angle (r = 0.656, p = 0.001), which suggests a possible correlation of cam impingement with hip microinstability.
Ballet dancers are thought to be at an increased risk for femoroacetabular impingement (cam and pincer) and its associated comorbidities, such as acetabular labral tears and early cartilage degeneration.
This study concluded that physiotherapy exercises are effective in the management of subacromial impingement syndrome.
Two studies will be referenced comparing physiotherapy to surgery for shoulder impingement symptoms.
Hip morphology influences the pattern of damage to the acetabular cartilage: Femoroacetabular impingement as a cause of early osteoarthritis of the hip.
Femoroacetabular impingement: A cause for osteoarthritis of the hip.
As such, coxa profunda morphology in isolation of other pathology may not represent true impingement pathology in all cases and additional studies should be considered.
An alternative form of surgical management is the PAO surgical technique often used for pincer-type impingement to reduce acetabular retroversion, and is one of the few surgical approaches to have an association as a sex-specific treatment secondary to the increased prevalence of pincer-type morphology in the female population.
The inclusion criteria were: shoulder impingement syndrome with positive physical test, shoulder pain for two to three months, shoulder pain score of at least 3 on the 10-point numeric pain rating scale, age 25-60 years, available documentation of patient consent.
The therapist assessed patients using Neer impingement test (specificity=30.5, sensitivity=88.7) and Hawkins Kennedy impingement test (specificity=25%, sensitivity=92%).(20) The physical therapist completed the assessment after obtaining consent from the patient and then used numeric pain rating scale (NPRS) to measure pain intensity, range of motion for mobility and shoulder pain and disability index (SPADI) for functional status.
Anterior and posterior
impingement can be treated arthroscopically or by open debridement with good results (1), but the arthroscopic technique is related to minor complications.
Treatment of
impingement syndrome: a systematic review of the effects on functional limitations and return to work.