Wednesday, September 26, 2012

Effects of posterior capsule tightness on subacromial contact behavior during shoulder motions. JSES



JSES has recently published an article on the Effects of posterior capsule tightness on subacromial contact behavior during shoulder motions.  This article concluded that posterior capsular tightness increased contact pressure beneath the acromion when the shoulder was flexed. This result is consistent with our publication from 1990: Translation of the humeral head on the glenoid with passive glenohumeral motion as well as other publications: Effect of posterior capsule tightness on glenohumeral translation in the late-cocking phase of pitching.

The most important conclusion from these articles is that posterior capsular tightness can cause the type of symptoms that in the past were attributed to 'impingement syndrome'.  Furthermore, these symptoms almost always respond to stretching exercises including the 'sleeper stretch'.

It is reassuring that we are now moving past using the term 'impingement syndrome'.




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