Abstract
Since Neer’s report of impingement syndrome, various forms of impingement have been reported in the literature. They are categorized into three groups: (1) subacromial impingement, (2) posterosuperior impingement, and (3) anterior impingement. The subacromial impingement is the classic type of impingement. The word “subacromial impingement syndrome” covers wide spectrum of rotator cuff pathologies and sometimes used synonymously with shoulder pain. Due to this vague definition, various pathologies are included under the diagnostic label of impingement syndrome. As a result, outcome of surgical treatment such as acromioplasty is controversial. We need further long-term studies to clarify the efficacy of acromioplasty, especially paying more attention to the pathology of the acromion and the rotator cuff tendon. The posterosuperior impingement is found specifically in throwing athletes. This pathology and treatment are described in detail in other chapters. The anterior impingement includes various types of impingement that occur around the anterior shoulder. The most common type is the subcoracoid impingement. However, the pathoanatomy and pathophysiology of this impingement is not clearly understood such as why an articular side tear of the subscapularis occurs as a result of subcoracoid impingement. More recently, anterosuperior impingement has been reported which seems to better explain the mechanism of articular side tear of the subscapularis. We need more evidence on this specific group of anterior impingement.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Armstrong JR. Excision of the acromion in treatment of the supraspinatus syndrome; report of 95 excisions. J Bone Joint Surg. 1949;31b(3):436–42.
Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972;54(1):41–50.
Bennett GE. Shoulder and elbow lesions distinctive of baseball players. Ann Surg. 1947;126(1):107–10.
Andrews JR, Broussard TS, Carson WG. Arthroscopy of the shoulder in the management of partial tears of the rotator cuff: a preliminary report. Arthroscopy. 1985;1(2):117–22.
Jobe FW, Kvitne RS, Giangarra CE. Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement. Orthop Rev. 1989;18(9):963–75.
Walch G, Boileau P, Noel E, Donell ST. Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: an arthroscopic study. J Shoulder Elbow Surg. 1992;1(5):238–45.
Garving C, Jakob S, Bauer I, Nadjar R, Brunner UH. Impingement syndrome of the shoulder. Dtsch Arztebl Int. 2017;114(45):765–76.
McLaughlin HL. Lesions of the musculotendinous cuff of the shoulder. The exposure and treatment of tears with retraction. Clin Orthop Relat Res. 1944;1994(304):3–9.
Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res. 1983;(173):70–7.
Neer CS 2nd, Welsh RP. The shoulder in sports. Orthop Clin North Am. 1977;8(3):583–91.
Ellman H. Arthroscopic subacromial decompression: analysis of one- to three-year results. Arthroscopy. 1987;3(3):173–81.
Roye RP, Grana WA, Yates CK. Arthroscopic subacromial decompression: two- to seven-year follow-up. Arthroscopy. 1995;11(3):301–6.
Hultenheim Klintberg I, Karlsson J, Svantesson U. Health-related quality of life, patient satisfaction, and physical activity 8-11 years after arthroscopic subacromial decompression. J Shoulder Elbow Surg. 2011;20(4):598–608.
Farfaras S, Sernert N, Rostgard Christensen L, Hallstrom EK, Kartus JT. Subacromial decompression yields a better clinical outcome than therapy alone: a prospective randomized study of patients with a minimum 10-year follow-up. Am J Sports Med. 2018;46(6):1397–407.
Vitale MA, Arons RR, Hurwitz S, Ahmad CS, Levine WN. The rising incidence of acromioplasty. J Bone Joint Surg Am. 2010;92(9):1842–50.
Judge A, Murphy RJ, Maxwell R, Arden NK, Carr AJ. Temporal trends and geographical variation in the use of subacromial decompression and rotator cuff repair of the shoulder in England. Bone Joint J. 2014;96-b(1):70–4.
Papadonikolakis A, McKenna M, Warme W, Martin BI, Matsen FA 3rd. Published evidence relevant to the diagnosis of impingement syndrome of the shoulder. J Bone Joint Surg Am. 2011;93(19):1827–32.
Braman JP, Zhao KD, Lawrence RL, Harrison AK, Ludewig PM. Shoulder impingement revisited: evolution of diagnostic understanding in orthopedic surgery and physical therapy. Med Biol Eng Comput. 2014;52(3):211–9.
Funk L, Levy O, Even T, Copeland SA. Subacromial plica as a cause of impingement in the shoulder. J Shoulder Elbow Surg. 2006;15(6):697–700.
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(1):81–8.
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(5):720–7.
Abrams GD, Gupta AK, Hussey KE, Tetteh ES, Karas V, Bach BR Jr, et al. Arthroscopic repair of full-thickness rotator cuff tears with and without acromioplasty: randomized prospective trial with 2-year follow-up. Am J Sports Med. 2014;42(6):1296–303.
Jobe CM. Posterior superior glenoid impingement: expanded spectrum. Arthroscopy. 1995;11(5):530–6.
Gerber C, Sebesta A. Impingement of the deep surface of the subscapularis tendon and the reflection pulley on the anterosuperior glenoid rim: a preliminary report. J Shoulder Elbow Surg. 2000;9(6):483–90.
Jobe CM. Superior glenoid impingement. Orthop Clin North Am. 1997;28(2):137–43.
Cunningham G, Ladermann A. Redefining anterior shoulder impingement: a literature review. Int Orthop. 2018;42(2):359–66.
Goldthwait JE. An anatomic and mechanical study of the shoulder-joint, explaining many of the cases of painful shoulder, many of the recurrent dislocations and many of the cases of brachial neuralgias or neuritis. Am J Orthop Surg. 1909;6(4):579–606.
Gerber C, Terrier F, Ganz R. The role of the coracoid process in the chronic impingement syndrome. J Bone Joint Surg. 1985;67(5):703–8.
Gerber C, Terrier F, Zehnder R, Ganz R. The subcoracoid space. An anatomic study. Clin Orthop Relat Res. 1987;(215):132–8.
Lo IK, Burkhart SS. The etiology and assessment of subscapularis tendon tears: a case for subcoracoid impingement, the roller-wringer effect, and TUFF lesions of the subscapularis. Arthroscopy. 2003;19(10):1142–50.
Friedman RJ, Bonutti PM, Genez B. Cine magnetic resonance imaging of the subcoracoid region. Orthopedics. 1998;21(5):545–8.
Suenaga N, Minami A, Kaneda K. Postoperative subcoracoid impingement syndrome in patients with rotator cuff tear. J Shoulder Elbow Surg. 2000;9(4):275–8.
Park JY, Lhee SH, Oh KS, Kim NR, Hwang JT. Is arthroscopic coracoplasty necessary in subcoracoid impingement syndrome? Arthroscopy. 2012;28(12):1766–75.
Ladermann A, Chague S, Kolo FC, Charbonnier C. Kinematics of the shoulder joint in tennis players. J Sci Med Sport. 2016;19(1):56–63.
Castagna A, Mouhsine E, Conti M, Vinci E, Borroni M, Giardella A, et al. Chondral print on humeral head: an indirect sign of long head biceps tendon instability. Knee Surg Sports Traumatol Arthrosc. 2007;15(5):645–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 ISAKOS
About this chapter
Cite this chapter
Itoi, E., Yamamoto, N. (2019). Definition and Classification of Different Forms of Impingement. In: Imhoff, A.B., Savoie, F.H. (eds) Rotator Cuff Across the Life Span. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58729-4_10
Download citation
DOI: https://doi.org/10.1007/978-3-662-58729-4_10
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-58728-7
Online ISBN: 978-3-662-58729-4
eBook Packages: MedicineMedicine (R0)