What is it? : Shoulder impingement syndrome is a table with pain and limitation of movement on the shoulder as a result of the narrowing of the distance between the muscles and the bone structure providing the shoulder swivel movements.
Causes : Long-time workers with arms lifted up, with long repetitive shoulder rotation operations in repetitive ejection movements, the distance is narrowed by swelling in the muscular edema and bursae in the biceps. In some people it causes narrowing at the bone because of the differentiation of the bone structures or due to bony protrusions on the bone and joint tips with arthritis.
Clinical : Pain is seen in activities like lifting the arms, moving them to the back. Patients complain that they cannot sleep on their painful shoulders.
Diagnosis : Diagnosis is made by physical examination. In addition, MR examination may be needed if it is necessary to investigate the level of concurrent treatment and accompanying pathologies.
Treatment : In the early stages, nonsteroidal anti-inflammatory drugs and exercise are sufficient in treatment. Moderate patients need a Physiotherapy. Patients who cannot lift the arm in the advanced stages and physical examination, patients who do not respond to medication and exercise treatments, and patients who have rotator cuff ruptures and/or bony protrusions on the MR are treated surgically. Surgical treatment can be done open or arthroscopically closed. The factors that cause impingement are removed in the surgery. If the tendon is torn, it is repaired. Physiotherapy is applied after the operation.