Document Detail

What went wrong and what to do about it: pitfalls in the treatment of shoulder impingement.
MedLine Citation:
PMID:  18399573     Owner:  NLM     Status:  MEDLINE    
Shoulder impingement is a commonly treated disorder; however, the absence of a clear understanding of pathophysiology and causation can create variability in treatment. Pitfalls that can impede optimal patient outcomes can occur in the areas of diagnosis, treatment, and rehabilitation. Diagnostic pitfalls include failing to identify some of the multiple extrinsic diagnoses as well as the intrinsic subacromial pathology in patients with symptoms of impingement. Surgical pitfalls include not addressing the entire pathology and doing an incomplete or excessive decompression. Rehabilitation pitfalls include prescribing the wrong exercises at the wrong time and omitting steps in the rehabilitation process. Every patient who presents for primary treatment of impingement or secondary treatment following failed treatment should have a thorough evaluation of all intrinsic and extrinsic factors that can contribute to the symptoms of shoulder impingement.
Ben W Ben Kibler; Aaron Sciascia
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Instructional course lectures     Volume:  57     ISSN:  0065-6895     ISO Abbreviation:  Instr Course Lect     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-10     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507149     Medline TA:  Instr Course Lect     Country:  United States    
Other Details:
Languages:  eng     Pagination:  103-12     Citation Subset:  IM    
Department of Orthopaedic Surgery / Sports Medicine, Lexington Clinic Sports Medicine Center, Lexington, Kentucky, USA.
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MeSH Terms
Orthopedic Procedures / methods*
Severity of Illness Index
Shoulder Impingement Syndrome / therapy*
Treatment Outcome

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

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