Internal impingement: concurrent superior labral and rotator cuff injuries.

Abstract:

:Internal impingement is a general term usually applied to the pathologic combination of a superior labral anterior-posterior injury and a partial thickness rotator cuff injury that is commonly seen in the disabled throwing shoulder. Clinical presentation varies but involves a combination of internal derangement (popping, clicking, catching, sliding) and rotator cuff weakness. Evaluation should be precise to delineate all components of the injury. Treatment must be directed toward both of the components and any other coexisting pathology. Labral repair should aim at restoring all aspects of the roles of the labrum. Rotator cuff treatment should take into account the need for optimal rotation and may not include complete take down and repair. Pitfalls in diagnosing and treating internal impingement should be known and avoided. Comprehensive rehabilitation emphasizing kinetic chain principles and full ranges of motion should be used.

authors

Kibler WB,Dome D

doi

10.1097/JSA.0b013e318243240c

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

30-3

issue

1

eissn

1062-8592

issn

1538-1951

pii

00132585-201203000-00006

journal_volume

20

pub_type

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