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Shoulder impingement syndrome is a syndrome involving tendonitis (inflammation of tendons) of the rotator cuff muscles as they pass through the subacromial space, the passage beneath the acromion. It is particularly associated with tendonitis of the supraspinatus muscle. [1] This can result in pain, weakness, and loss of movement at the ...
The Hawkins-Kennedy test [11] [12] has a sensitivity of approximately 80% to 90% for detecting impingement. The infraspinatus and supraspinatus [13] tests have a specificity of 80% to 90%. [10] A common cause of shoulder pain in rotator cuff impingement syndrome is tendinosis, which is an age-related and most often self-limiting condition. [14]
The coracoacromial ligament may impinge and compress rotator cuff muscle or tendon. [3] It may be damaged during a shoulder injury. [4] The attachment of the coracoacromial ligament may be moved from acromion to the end of the clavicle when reconstructing the acromioclavicular joint. [5] [6] This often fails. [5]
The shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) (see diagram). Two joints facilitate shoulder movement. The acromioclavicular (AC) joint is located between the acromion (part of the scapula that forms the highest point of the shoulder) and the clavicle.
The pain may occur with shoulder movement above the horizontal position, shoulder flexion and abduction. [12] [13] Pain is often described as weakness. Actual muscle weakness does not correlate with symptoms of weakness. Symptom severity does not correlate with rotator cuff defect size and associated muscle quality. [14]
Shoulder impingement is pain not associated with an injury. It is the first stage of rotator cuff disease which ranges from bursitis to tendonitis, to rotator cuff tear, according to Mercy Medical ...
Repetitive shoulder movements, overhead, swinging, throwing or circling movement can cause musculoskeletal injury. [16] Some cases can result in spinal cord damage at the C3-C5 levels, producing a myelopathy which can dramatically compromise overall movements in arm and legs as well as other fine motor functions . [ 1 ]
Dorsiflexion of the foot: The muscles involved include those of the Anterior compartment of leg, specifically tibialis anterior muscle, extensor hallucis longus muscle, extensor digitorum longus muscle, and peroneus tertius. The range of motion for dorsiflexion indicated in the literature varies from 12.2 [8] to 18 [9] degrees. [10]