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Rotator Cuff Impingement Syndrome

Faren H. Williams, MD, MS and Minjin K. Fromm, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Compression of rotator cuff tendons and subacromial bursa between the humeral head and the structures comprising the coracoacromial arch and proximal humerus

  • Most common cause of atra...

DIAGNOSIS

HISTORY

  • Gradual increase in shoulder pain with overhead activities (Sudden onset of sharp pain suggests a tear.)

  • Night pain is common, exacerbated by lying on the affected shoulder or sleeping...

TREATMENT

Pain control in combination with aggressive rehabilitation improves and fully resolves rotator cuff tendonitis in most patients. 

GENERAL MEASURES

  • Rest

  • Ice or heat for symptom relief

  • Activity mo...

ONGOING CARE

PATIENT EDUCATION

  • Physical rehabilitation is necessary, both in conservative course of treatment (i.e., NSAIDs, physical therapy, home exercises) and in surgical intervention. An aggressiv...

REFERENCES

1
Alqunaee M, Galvin R, Fahey T. Diagnostic accuracy of clinical tests for subacromial impingement syndrome: a systematic review and meta-analysis. Arch Phys Med Rehabil.  2012;93(2):22...

ADDITIONAL READING

  • Baumgarten KM, Gerlach D, Galatz LM, et al. Cigarette smoking increases the risk for rotator cuff tears. Clin Orthop Relat Res.  2010;468(6):1534–1541. [View Abstract on OvidMe...

CODES

ICD10

  • M75.40 Impingement syndrome of unspecified shoulder

  • M75.110 Incmpl rotatr-cuff tear/ruptr of unsp shoulder, not trauma

  • M75.120 Complete rotatr-cuff tear/ruptr of unsp shoulder, not trauma

  • M75....

CLINICAL PEARLS

  • Consider impingement syndrome in patients who engage in activities with repetitive overhead motions (e.g., swimming, throwing) who present with shoulder pain.

  • Atraumatic shoulder pain i...

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