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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 acromioclavicular joint provides the ability to raise the arm above the head. This joint functions as a pivot point (although technically it is a gliding synovial joint), acting like a strut to help with movement of the scapula resulting in a greater degree of arm rotation.
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 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]
Animation of the shoulder joint. The muscles shown are subscapularis muscle (at right), infraspinatus muscle (at top left), teres minor muscle (at bottom left) The movement of the scapula across the rib cage in relation to the humerus is known as the scapulohumeral rhythm, and this helps to achieve a further range of movement. This range can be ...
Shoulder anatomy, front view Shoulder anatomy, back view. The rotator cuff is an anatomical term given to the group of four muscles and their tendons that act to stabilize the shoulder. [3] These muscles are the supraspinatus, infraspinatus, teres minor and subscapularis and that hold the head of the humerus in the glenoid cavity during ...
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]
The two muscles most commonly inhibited during this first part of an overhead motion are the serratus anterior and the lower trapezius. [18] These two muscles act as a force couple within the glenohumeral joint to properly elevate the acromion process, and if a muscle imbalance exists, shoulder impingement may develop.