Document Detail

Internal impingement of the shoulder in the overhead athlete.
MedLine Citation:
PMID:  19884449     Owner:  NLM     Status:  MEDLINE    
Internal impingement of the shoulder refers to a constellation of pathologic conditions, including, but not limited to, articular-sided rotator cuff tears, labral tears, biceps tendinitis, anterior instability, internal rotation deficit, and scapular dysfunction. Physiologic adaptations to throwing include increased external rotation, increased humeral and glenoid retroversion, and anterior laxity, all of which may predispose an individual to internal impingement. Nonoperative treatment should always be attempted first, with a focus on increasing the range of motion and improving scapular function. When an operative intervention is chosen, it is important to address microinstability in order to have a good outcome and prevent failure.
Mark C Drakos; Jonas R Rudzki; Answorth A Allen; Hollis G Potter; David W Altchek
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  91     ISSN:  1535-1386     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-03     Completed Date:  2009-11-25     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2719-28     Citation Subset:  AIM; IM    
Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
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MeSH Terms
Shoulder Impingement Syndrome* / diagnosis,  etiology,  physiopathology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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