<p><img src="fileadmin/img/gruppen_pfeil.gif" width="39" height="12" alt="#" border="0" /> The complicated interplay of a total of 3 joints and 2 accessory joints is essential to the perfect functioning of the shoulder. </p>

# The complicated interplay of a total of 3 joints and 2 accessory joints is essential to the perfect functioning of the shoulder.

11.05.2012
Bild der Frau - Bericht

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02.03.2012
tv Hoeren und Sehen - Bericht

Gelenke ohne Schmerzen

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29.11.2011
Schulter-OP und Reha erfolgreich

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Impingement syndrome

Patients with impingement syndrome typically complain of pain to the side of the upper arm that occurs either with loading (e.g. on lateral abduction of the arm) or is noticed as a pain at rest during the night.

It is due to the free space between the acromion and the rotator cuff being too small. This can either be due to a constitutionally reduced space that is often further decreased by bony deposits around the age of 40 years, or to an expansion of the soft tissue structures under the acromion (e.g. increase in calcium deposits within the rotator cuff or inflammatory thickening of the bursa following intensive strain on the shoulder during tennis, volleyball, etc.).

Locating the impingement under the coracoacromial arch (lateral view). The rotator cuff tendons.
Locating the impingement under the coracoacromial arch (lateral view). The rotator cuff tendons.
The synovial (subacromial) bursa between the tendons and the coracoacromial arch.
The synovial (subacromial) bursa between the tendons and the coracoacromial arch.
Arthroscopic decompression. Widening of the coracoacromial arch to create the ideal amount of space.
Arthroscopic decompression. Widening of the coracoacromial arch to create the ideal amount of space.
Classification of the forms of coracoacromial arch. This influences the incidence of the disorder.
Classification of the forms of coracoacromial arch. This influences the incidence of the disorder.

What helps impingement syndrome?

Sometimes, anti-inflammatory drugs, injections or physiotherapeutic measures can be helpful in the early stage. However, in cases of significant constriction, there is also the danger that the physiotherapeutic loading could increase the problem or even lead to tears in the rotator cuff.

Conservative arthroscopic loosening of adhesions

Today, good results are often possible with the use of arthroscopy in impingement syndrome. In this way, for example, a reliable release of the inflamed, adherent bursa under the acromion and a precise removal of the bony constriction is possible, so that a good sliding function is already present after a few weeks.

Note. Although arthroscopic procedures are a conservative therapeutic alternative in many diseases of the shoulders today, this possibility often only comes into consideration at a relatively late stage. In some cases, further tears to the rotator cuff tendons will have already occurred, which can often be prevented by a timely intervention.

Kompetente Beratung zu Schulterschmerzen, SchulterarthroseHüftschmerzen, Hüftarthrose und Hüftarthroskopie in Wiesbaden, Frankfurt und Freiburg 
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© 2011 - Impingement syndrome