Wednesday, January 8, 2014

"Impingement is not impingement"

Impingement is not impingement: the case for calling it “Rotator Cuff Disease” This review article builds on our previous publication, in which we point out that the diagnosis "impingement syndrome" is non-specific and that with todays understanding of the rotator cuff and with the currently available diagnostic tools, we can usually provide a more precise diagnosis.
The authors of this paper point out that the historical impingement theory was that that the rotator cuff tendons, especially the supraspinatus, make contact with the acromion and coracoacromial ligament, resulting in pain and eventual tearing of the tendon. They find, however, that in view of current evidence, it appears unlikely that this contact is the cause of rotator cuff degeneration and failure.
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Impingement is not impingement: the case for calling it “Rotator Cuff Disease”