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Subacromial Impingement

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Shoulder Arthroscopy

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Abstract

The subacromial space is delimited above by the coracoacromial arch, which consists of the anterior part of the acromion, the coracoid process, the coracoacromial ligament (CAL), and the acromioclavicular (AC) joint and below by the humeral head covered by the rotator cuff. In 1972, Neer (J Bone Joint Surg 54A:41–50, 1972) first highlighted the correlation between degenerative changes of the coracoacromial arch and tendinopathy of the rotator cuff and long head of the biceps. He described the “subacromial impingement syndrome” as the main cause of shoulder pain due to a pathological reduction of the subacromial space that results in an attrition between the rotator cuff and the coracoacromial arch during the movements of flexion, abduction, and rotation of the limb, which can cause degenerative lesions of all the structures contained in the subacromial space.

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References

  1. Neer 2nd CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg. 1972;54A:41–50.

    Google Scholar 

  2. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54:959–64.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech. 2003;18:369–79.

    Article  Google Scholar 

  4. Feleus A, Bierma-Zeinstra SM, Miedema HS, Verhaar JA, Koes BW. Management in non-traumatic arm, neck and shoulder complaints: differences between diagnostic groups. Eur Spine J. 2008;17:1218–29.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Harrison AK, Flatow EL. Subacromial impingement syndrome. J Am Acad Orthop Surg. 2011;19:701–8.

    PubMed  Google Scholar 

  6. Roquelaure Y, Ha C, Leclerc A, Touranchet A, Sauteron M, Melchior M, et al. Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum. 2006;55:765–78.

    Article  PubMed  Google Scholar 

  7. Bot SD, van der Waal JM, Terwee CB, van der Windt DA, Schellevis FG, Bouter LM, et al. Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis. 2005;64:118–23.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  8. Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33:73–81.

    Article  CAS  PubMed  Google Scholar 

  9. Zanca GG, Saccol MF, Oliveira AB, Mattiello SM. Shoulder internal and external rotations torque steadiness in overhead athletes with and without impingement symptoms. J Sci Med Sport. 2013;16:433–7.

    Google Scholar 

  10. Maenhout A, Van Eessel V, Van Dyck L, Vanraes A, Cools A. Quantifying acromiohumeral distance in overhead athletes with glenohumeral internal rotation loss and the influence of a stretching program. Am J Sports Med. 2012;40:2105–12.

    Article  PubMed  Google Scholar 

  11. Page P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. Int J Sports Phys Ther. 2011;6:51–8.

    PubMed Central  PubMed  Google Scholar 

  12. Kirchhoff C, Imhoff AB. Posterosuperior and anterosuperior impingement of the shoulder in overhead athletes-evolving concepts. Int Orthop. 2010;34:1049–58.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Seitz AL, McClure PW, Finucane S, Boardman 3rd ND, Michener LA. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? Clin Biomech (Bristol, Avon). 2011;26:1–12.

    Article  Google Scholar 

  14. Ellman H, Gartsman GM. Arthroscopic shoulder surgery and related procedures. Malvern: Lea & Febiger; 1993.

    Google Scholar 

  15. Iannotti JP, Zlatkin MB, Esterhai JL, Kressel HY, Dalinka MK, Spindler KP. Magnetic resonance imaging of the shoulder. Sensitivity, specificity, and predictive value. J Bone Joint Surg. 1991;73A:17–29.

    Google Scholar 

  16. Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M. Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg. 1995;77B:296–8.

    Google Scholar 

  17. Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg. 1995;77A:10–5.

    Google Scholar 

  18. Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999;8:296–9.

    Article  CAS  PubMed  Google Scholar 

  19. Rathbun JB, Macnab I. The microvascular pattern of the rotator cuff. J Bone Joint Surg. 1970;52B:540–53.

    Google Scholar 

  20. Fukuda H, Hamada K, Yamanaka K. Pathology and pathogenesis of bursal-side rotator cuff tears viewed from en bloc histologic sections. Clin Orthop Relat Res. 1990;304:75–80.

    Google Scholar 

  21. Brooks CH, Revell WJ, Heatley FW. A quantitative histological study of the vascularity of the rotator cuff tendon. J Bone Joint Surg. 1992;74B:151–3.

    Google Scholar 

  22. Biberthaler P, Wiedemann E, Nerlich A, Kettler M, Mussack T, Deckelmann S, et al. Microcirculation associated with degenerative rotator cuff lesions. In vivo assessment with orthogonal polarization spectral imaging during arthroscopy of the shoulder. J Bone Joint Surg. 2003;85A:475–80.

    Google Scholar 

  23. Goodmurphy CW, Osborn J, Akesson EJ, Johnson S, Stanescu V, Regan WD. An immunocytochemical analysis of torn rotator cuff tendon taken at the time of repair. J Shoulder Elbow Surg. 2003;12:368–74.

    Article  CAS  PubMed  Google Scholar 

  24. Rudzki JR, Adler RS, Warren RF, Kadrmas WR, Verma N, Pearle AD, et al. Contrast-enhanced ultrasound characterization of the vascularity of the rotator cuff tendon: age- and activity-related changes in the intact asymptomatic rotator cuff. J Shoulder Elbow Surg. 2008;17:S96–100.

    Article  Google Scholar 

  25. Kumagai J, Sarkar K, Uhthoff HK. The collagen types in the attachment zone of rotator cuff tendons in the elderly: an immunohistochemical study. J Rheumatol. 1994;21:2096–100.

    CAS  PubMed  Google Scholar 

  26. Riley GP, Harrall RL, Constant CR, Chard MD, Cawston TE, Hazleman BL. Glycosaminoglycans of human rotator cuff tendons: changes with age and in chronic rotator cuff tendinitis. Ann Rheum Dis. 1994;53:367–76.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  27. Bey MJ, Song HK, Wehrli FW, Soslowsky LJ. Intratendinous strain fields of the intact supraspinatus tendon: the effect of glenohumeral joint position and tendon region. J Orthop Res. 2002;20:869–74.

    Article  PubMed  Google Scholar 

  28. Reilly P, Amis AA, Wallace AL, Emery RJ. Mechanical factors in the initiation and propagation of tears of the rotator cuff. Quantification of strains of the supraspinatus tendon in vitro. J Bone Joint Surg. 2003;85B:594–9.

    Article  Google Scholar 

  29. Huang CY, Wang VM, Pawluk RJ, Bucchieri JS, Levine WN, Bigliani LU, et al. Inhomogeneous mechanical behavior of the human supraspinatus tendon under uniaxial loading. J Orthop Res. 2005;23:924–30.

    Article  PubMed  Google Scholar 

  30. Lake SP, Miller KS, Elliott DM, Soslowsky LJ. Effect of fiber distribution and realignment on the nonlinear and inhomogeneous mechanical properties of human supraspinatus tendon under longitudinal tensile loading. J Orthop Res. 2009;27:1596–602.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Uhthoff HK, Sarkar K. The effect of aging on the soft tissues of the shoulder. In: Matsen FA, Fu FH, Hawkins RJ, editors. The shoulder: a balance of mobility and stability (symposium). Rosemont: American Academy of Orthopaedic Surgeons; 1993. p. 269.

    Google Scholar 

  32. Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA, Middleton WD. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg. 2001;10:199–203.

    Article  CAS  PubMed  Google Scholar 

  33. Woo SL, An KN, Frank CB, Livesay GA, Ma CB, Zeminski J, et al. Anatomy, biology, and biomechanics of tendon and ligament. In: Buckwalter J, Einhorn T, Simon S, editors. Orthopaedic basic science. Park Ridge: American Academy of Orthopaedic Surgeons; 2000.

    Google Scholar 

  34. Yuan J, Murrell GA, Wei AQ, Wang MX. Apoptosis in rotator cuff tendinopathy. J Orthop Res. 2002;20:1372–9.

    Article  PubMed  Google Scholar 

  35. Tuoheti Y, Itoi E, Pradhan RL, Wakabayashi I, Takahashi S, Minagawa H, et al. Apoptosis in the supraspinatus tendon with stage II subacromial impingement. J Shoulder Elbow Surg. 2005;14:535–41.

    Article  PubMed  Google Scholar 

  36. Selkowitz DM, Chaney C, Stuckey SJ, Vlad G. The effects of scapular taping on the surface electromyographic signal amplitude of shoulder girdle muscles during upper extremity elevation in individuals with suspected shoulder impingement syndrome. J Orthop Sports Phys Ther. 2007;37:694–702.

    Article  PubMed  Google Scholar 

  37. Codman EA. The shoulder: rupture of the supraspinatus tendon and other lesion in or about the subacromial bursa. Boston: Thomas Todd; 1934.

    Google Scholar 

  38. Lohr JF, Uhthoff HK. The microvascular pattern of the supraspinatus tendon. Clin Orthop Relat Res. 1990;254:35–8.

    PubMed  Google Scholar 

  39. Matthews TJ, Hand GC, Rees JL, Athanasou NA, Carr AJ. Pathology of the torn rotator cuff tendon. Reduction in potential for repair as tear size increases. J Bone Joint Surg. 2006;88B:489–95.

    Article  Google Scholar 

  40. Levy O, Relwani J, Zaman T, Even T, Venkateswaran B, Copeland S. Measurement of blood flow in the rotator cuff using laser Doppler flowmetry. J Bone Joint Surg. 2008;90B:893–8.

    Article  Google Scholar 

  41. Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, et al. Histopathology of the supraspinatus tendon in rotator cuff tears. Am J Sports Med. 2008;36:533–8.

    Article  PubMed  Google Scholar 

  42. Ozaki J, Fujimoto S, Nakagawa Y, Masuhara K, Tamai S. Tears of the rotator cuff of the shoulder associated with pathological changes in the acromion. J Bone Joint Surg. 1988;70A:1224.

    Google Scholar 

  43. Neer CS, Poppen NK. Supraspinatus outlet. In: Third open meeting of the American Shoulder and Elbow Surgeons, San Francisco, 1987.

    Google Scholar 

  44. Bigliani LU, Morrison DS, April EW. The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans. 1986;10:228.

    Google Scholar 

  45. Bigliani LU, Ticker JB, Flatow EL, Soslowsky LJ, Mow VC. The relationship of acromial architecture to rotator cuff disease. Clin Sports Med. 1991;10:823–38.

    CAS  PubMed  Google Scholar 

  46. Ogawa K, Yoshida A, Inokuchi W, Naniwa T. Acromial spur: relationship to aging and morphologic changes in the rotator cuff. J Shoulder Elbow Surg. 2005;14:591–8.

    Article  PubMed  Google Scholar 

  47. Aoki M, Ishii S, Usui M. The slope of the acromion and rotator cuff impingement. Orthop Trans. 1986;10:228.

    Google Scholar 

  48. Edelson JG. The ‘hooked’ acromion revisited. J Bone Joint Surg. 1995;77B:284–7.

    Google Scholar 

  49. Toivonen DA, Tuite MJ, Orwin JF. Acromial structure and tears of the rotator cuff. J Shoulder Elbow Surg. 1995;4:376–83.

    Article  CAS  PubMed  Google Scholar 

  50. Vaz S, Soyer J, Pries P, Clarac JP. Subacromial impingement: influence of coracoacromial arch geometry on shoulder function. Joint Bone Spine. 2000;67:305–9.

    CAS  PubMed  Google Scholar 

  51. Petersson CJ, Gentz CF. Ruptures of the supraspinatus tendon. The significance of distally pointing acromioclavicular osteophytes. Clin Orthop Relat Res. 1983;174:143–8.

    PubMed  Google Scholar 

  52. Chambler AF, Bull AM, Reilly P, Amis AA, Emery RJ. Coracoacromial ligament tension in vivo. J Shoulder Elbow Surg. 2003;12:365–7.

    Article  CAS  PubMed  Google Scholar 

  53. Yamamoto N, Muraki T, Sperling JW, Steinmann SP, Itoi E, Cofield RH, et al. Contact between the coracoacromial arch and the rotator cuff tendons in nonpathologic situations: a cadaveric study. J Shoulder Elbow Surg. 2010;19:681–7.

    Article  PubMed  Google Scholar 

  54. Paulos LE, Franklin JL, Beck CL. Arthroscopic management of rotator cuff tears. In: Mc Ginty JB, editor. Operative arthroscopy. New York: Raven; 1991. p. 529.

    Google Scholar 

  55. Gerber C, Terrier F, Ganz R. The role of coracoid process in the chronic impingement syndrome. J Bone Joint Surg. 1985;67B:703–8.

    Google Scholar 

  56. Neer CS. Shoulder reconstruction. Philadelphia: Saunders; 1990.

    Google Scholar 

  57. Patte D. The subcoracoid impingement. Clin Orthop. 1990;254:55–9.

    PubMed  Google Scholar 

  58. Soslowsky LJ, Thomopoulos S, Esmail A, Flanagan CL, Iannotti JP, Williamson 3rd JD, et al. Rotator cuff tendinosis in an animal model: role of extrinsic and overuse factors. Ann Biomed Eng. 2002;30:1057–63.

    Article  PubMed  Google Scholar 

  59. Yamaguchi K, Ditsios K, Middleton WD, Hildebolt CF, Galatz LM, Teefey SA. The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg. 2006;88A:1699–704.

    Article  Google Scholar 

  60. Hallstrom E, Karrholm J. Shoulder kinematics in 25 patients with impingement and 12 controls. Clin Orthop Relat Res. 2006;448:22–7.

    Article  CAS  PubMed  Google Scholar 

  61. Royer PJ, Kane EJ, Parks KE, Morrow JC, Moravec RR, Christie DS, et al. Fluoroscopic assessment of rotator cuff fatigue on glenohumeral arthrokinematics in shoulder impingement syndrome. J Shoulder Elbow Surg. 2009;18:968–75.

    Article  PubMed  Google Scholar 

  62. Keener JD, Wei AS, Kim HM, Steger-May K, Yamaguchi K. Proximal humeral migration in shoulders with symptomatic and asymptomatic rotator cuff tears. J Bone Joint Surg. 2009;91A:1405–13.

    Article  Google Scholar 

  63. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80:276–91.

    CAS  PubMed  Google Scholar 

  64. Endo K, Ikata T, Katoh S, Takeda Y. Radiographic assessment of scapular rotational tilt in chronic shoulder impingement syndrome. J Orthop Sci. 2001;6:3–10.

    Article  CAS  PubMed  Google Scholar 

  65. Su KP, Johnson MP, Gracely EJ, Karduna AR. Scapular rotation in swimmers with and without impingement syndrome: practice effects. Med Sci Sports Exerc. 2004;36:1117–23.

    Article  PubMed  Google Scholar 

  66. O’Brien SJ, Warren RF, Schwartz E. Anterior shoulder instability. Orthop Clin North Am. 1987;18:395–408.

    PubMed  Google Scholar 

  67. Jobe FW. Impingement problems in the athlete. Instr Course Lect. 1989;38:205–9.

    Google Scholar 

  68. Glousman RE. Instability versus impingement syndrome in the throwing athlete. Orthop Clin North Am. 1993;24:89–99.

    CAS  PubMed  Google Scholar 

  69. Rowe CR, Zarins B. Recurrent transient subluxation of the shoulder. J Bone Joint Surg. 1981;63A:863–72.

    Google Scholar 

  70. Walch G, Liotard JP, Boileau P, Noel E. Le conflit glenoidien postero-superieur : un autre conflit de l’epaule. Rev Chir Orthop. 1991;77:571–4.

    CAS  PubMed  Google Scholar 

  71. Liu SH, Boyton E. Posterior superior impingement of the rotator cuff on the glenid rim as a cause of shoulder pain in the overhead athlete. Arthroscopy. 1993;6:697–9.

    Article  Google Scholar 

  72. Jobe CM. Posterior superior glenoid impingement: expanded spectrum. Arthroscopy. 1995;11:530–6.

    Article  CAS  PubMed  Google Scholar 

  73. Paley KJ, Jobe CM, Pink MM, Kvitne RS, ElAttrache NS. Arthroscopic finding in the overhand throwing athlete: evidence for posterior internal impingement of the rotator cuff. Arthroscopy. 2000;16:35–40.

    Article  CAS  PubMed  Google Scholar 

  74. Celli L, De Luise G, Marinelli M. Fisiopatologia della spalla. In: La spalla. Patologia degenerativa periarticolare. Bologna: Gaggi ed; 1989. p. 13–29.

    Google Scholar 

  75. Harryman 2nd DT, Sidles JA, Clarck JM, McQuade KJ, Gibb TD, Matsen 3rd FA. Translation of the humeral head on the glenoid with passive glenohumeral motion. J Bone Joint Surg. 1990;7A:1334–43.

    Google Scholar 

  76. Hegedus EJ, Goode AP, Cook CE, Michener L, Myer CA, Myer DM, et al. Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. Br J Sports Med. 2012;46:964–78.

    Article  PubMed  Google Scholar 

  77. Kappe T, Knappe K, Elsharkawi M, Reichel H, Cakir B. Predictive value of preoperative clinical examination for subacromial decompression in impingement syndrome. Knee Surg Sports Traumatol Arthrosc. 2013. doi:10.1007/s00167-013-2386-2. [Epub ahead of print].

  78. Snyder SJ, Pachelli AF, Del Pizzo W, Friedman MJ, Ferkel RD, Pattee G. Partial thickness rotator cuff tears: results of arthroscopic treatment. Arthroscopy. 1991;7:1–7.

    Article  CAS  PubMed  Google Scholar 

  79. Snyder SJ. Evaluation and treatment of the rotator cuff. Orthop Clin North Am. 1993;24:173–92.

    CAS  PubMed  Google Scholar 

  80. Murray PJ, Shaffer BS. Clinical update: MR imaging of the shoulder. Sports Med Arthrosc. 2009;17:40–8.

    Article  PubMed  Google Scholar 

  81. Tuite MJ. Magnetic resonance imaging of rotator cuff disease and external impingement. Magn Reson Imaging Clin N Am. 2012;20:187–200.

    Article  PubMed  Google Scholar 

  82. Beggs I. Shoulder ultrasound. Semin Ultrasound CT MR. 2011;32:101–13.

    Article  PubMed  Google Scholar 

  83. Ok JH, Kim YS, Kim JM, Yoo TW. Learning curve of office-based ultrasonography for rotator cuff tendons tears. Knee Surg Sports Traumatol Arthrosc. 2013;21:1593–7.

    Article  PubMed  Google Scholar 

  84. Shahabpour M, Kichouh M, Laridon E, Gielen JL, De Mey J. The effectiveness of diagnostic imaging methods for the assessment of soft tissue and articular disorders of the shoulder and elbow. Eur J Radiol. 2008;65:194–200.

    Article  CAS  PubMed  Google Scholar 

  85. Barbier O, Block D, Dezaly C, Sirveaux F, Mole D. Os acromiale, a cause of shoulder pain, not to be overlooked. Orthop Traumatol Surg Res. 2013;99:465–72.

    Article  CAS  PubMed  Google Scholar 

  86. Harris JD, Griesser MJ, Jones GL. Systematic review of the surgical treatment for symptomatic os acromiale. Int J Shoulder Surg. 2011;5:9–16.

    Article  PubMed Central  PubMed  Google Scholar 

  87. Burbank KM, Lemos MJ, Bell G, Lemos DW. Incidence of os acromiale in patients with shoulder pain. Am J Orthop (Belle Mead NJ). 2007;36:153–5.

    Google Scholar 

  88. Youm T, Hommen JP, Ong BC, Chen AL, Shin C. Os acromiale: evaluation and treatment. Am J Orthop (Belle Mead NJ). 2005;34:277–83.

    Google Scholar 

  89. Brox JI, Staff PH, Ljunggren AE, Brevik JI. Arthroscopic surgery compared with supervised exercises in patients with rotator cuff disease (stage II impingement syndrome). BMJ. 1993;307:899–903.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  90. Rahme H, Solem-Bertoft E, Westerberg CE, Lundberg E, Sörensen S, Hilding S. The subacromial impingement syndrome. A study of results of treatment with special emphasis on predictive factors and pain-generating mechanisms. Scand J Rehabil Med. 1998;30:253–62.

    Article  CAS  PubMed  Google Scholar 

  91. Haahr JP, Ostergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, et al. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis. 2005;64:760–4.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  92. Ketola S, Lehtinen J, Arnala I, Nissinen N, Westenius H, Sintonen H, et al. Does arthroscopic acromioplasty provide any additional value in the treatment of shoulder impingement syndrome?: a two-year randomised controlled trial. J Bone Joint Surg. 2009;91B:1326–34.

    Article  Google Scholar 

  93. Gebremariam L, Hay EM, Koes BW, Huisstede BM. Effectiveness of surgical and postsurgical interventions for the subacromial impingement syndrome: a systematic review. Arch Phys Med Rehabil. 2011;92:1900–13.

    Article  PubMed  Google Scholar 

  94. Holmgren T, Björnsson Hallgren H, Öberg B, Adolfsson L, Johansson K. Effect of specific exercise strategy on need for surgery in patients with subacromiale impingement syndrome: randomised controlled study. BMJ. 2012;344:e787.

    Article  PubMed Central  PubMed  Google Scholar 

  95. Sher JS, Iannotti JP, Warner JJ, Groff Y, Williams GR. Surgical treatment of postoperative deltoid origin disruption. Clin Orthop. 1997;343:93–8.

    PubMed  Google Scholar 

  96. Connor PM, Yamaguchi K, Pollock RG, Flatow EL, Bigliani LU. Comparison of arthroscopic and open revision decompression for failed anterior acromioplasty. Orthopedics. 2000;23:549–54.

    CAS  PubMed  Google Scholar 

  97. Wellmann M, Petersen W, Zantop T, Schanz S, Raschke MJ, Hurschler C. Effect of coracoacromial ligament resection on glenohumeral stability under active muscle loading in an in vitro model. Arthroscopy. 2008;24:1258–64.

    Article  PubMed  Google Scholar 

  98. Moorman CT, Warren RF, Deng XH, Wickiewicz TL, Torzilli PA. Role of coracoacromial ligament and related structures in glenohumeral stability: a cadaveric study. J Surg Orthop Adv. 2012;21:210–7.

    Article  PubMed  Google Scholar 

  99. Donigan JA, Wolf BR. Arthroscopic subacromial decompression: acromioplasty versus bursectomy alone – does it really matter? A systematic review. Iowa Orthop J. 2011;31:121–6.

    PubMed Central  PubMed  Google Scholar 

  100. Budoff JE, Nirschl RP, Guidi EJ. Debridement of partial-thickness tears of the rotator cuff without acromioplasty. Long-term follow-up and review of the literature. J Bone Joint Surg. 1998;80A:733–48.

    Google Scholar 

  101. Budoff JE, Rodin D, Ochiai D, Nirschl RP. Arthroscopic rotator cuff debridement without decompression for the treatment of tendinosis. Arthroscopy. 2005;21:1081–9.

    Article  PubMed  Google Scholar 

  102. Gartsman GM, O’Connor DP. Arthroscopic rotator cuff repair with and without arthroscopic subacromial decompression: a prospective, randomized study of one-year outcomes. J Shoulder Elbow Surg. 2004;13:424–6.

    Article  PubMed  Google Scholar 

  103. Milano G, Grasso A, Salvatore M, Zarelli D, Deriu L, Fabbriciani C. Arthroscopic rotator cuff repair with and without subacromial decompression: a prospective randomized study. Arthroscopy. 2007;23:81–8.

    Article  PubMed  Google Scholar 

  104. MacDonald P, McRae S, Leiter J, Mascarenhas R, Lapner P. Arthroscopic rotator cuff repair with and without acromioplasty in the treatment of full-thickness rotator cuff tears: a multicenter, randomized controlled trial. J Bone Joint Surg. 2011;93A:1953–60.

    Google Scholar 

  105. Shin SJ, Oh JH, Chung SW, Song MH. The efficacy of acromioplasty in the arthroscopic repair of small- to medium-sized rotator cuff tears without acromial spur: prospective comparative study. Arthroscopy. 2012;28:628–35.

    Article  PubMed  Google Scholar 

  106. Chahal J, Mall N, MacDonald PB, Van Thiel G, Cole BJ, Romeo AA, et al. The role of subacromial decompression in patients undergoing arthroscopic repair of full-thickness tears of the rotator cuff: a systematic review and meta-analysis. Arthroscopy. 2012;28:720–7.

    Article  PubMed  Google Scholar 

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  1. Division of Orthopaedic Surgery, Catholic University, “A. Gemelli” University Hospital, Largo A. Gemelli 8, Rome, 00168, Italy

    Maristella F. Saccomanno MD, Silvia Careri MD, Matteo Bartoli MD & Giuseppe Milano MD

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  1. Maristella F. Saccomanno MD
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  2. Silvia Careri MD
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  3. Matteo Bartoli MD
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  4. Giuseppe Milano MD
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  1. Department of Orthopaedics, Catholic University of Rome, Rome, Roma, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

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Saccomanno, M.F., Careri, S., Bartoli, M., Milano, G. (2014). Subacromial Impingement. In: Milano, G., Grasso, A. (eds) Shoulder Arthroscopy. Springer, London. https://doi.org/10.1007/978-1-4471-5427-3_21

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