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Impingement syndrome

Introduction

Define/describe the condition

Anatomy

Describe the pertinent anatomy and provide links to relevant pages

Pathogeneis

Describe the biologic basis of the disorder or the mechanism of injury

Natural History

Describe the natural history,epidemiology and prognosis

Patient History and Physical Findings

Describe the means to elicit the most useful information from the patient history and physical examination as well as the relevant findings

Imaging and other Diagnostic Studies

Describe appropriate radiologic and other diagnostic studies

Differential Diagnosis

Include a list with links to relevant conditions

Treatment

Include:
Medical therapy
Nonoperative treatment

Evidence for Non-Operative Treatment

  • Morrison et al (JBJS AM, 1997) used PT and medication for 6 weeks consisting of ER/IR exercises and deltoid exercises reporting overall success rate of 67%.  Symptoms less than 4 weeks 78%, 1-6 months 63%, greater than 6 months 67%.
  • Brox et al (JSES, 1999) randomly assigned patients for PT, arthroscopy, and placebo.  Surgery, PT, and placebo yielded 68%, 61%, and 25% execellent to good results. 

Operative treatment - include links to pages with detailed surgical techniques
Indications and contraindications

Pearls and Pitfalls

Tips and problems to avoid

Postoperative Care

Include immediate postoperative care and rehabilitation

Outcome

Include functional and prosthetic survivorship data as applicable

Complications

Include overview of complications

Selected References

Insert selected references and landmark articles

Peer Review

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Academic Resources

Resources on Impingement syndrome from Pubget.

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