The coracoid impingement syndrome.
نویسندگان
چکیده
Coracoid impingement results from encroachment on the coracohumeral space, presenting as anterior shoulder pain and clicking, particularly in forward flexion, medial rotation, and adduction. In eight shoulders in seven patients, coracohumeral decompression by excision of the lateral 1.5 cm of the coracoid with re-attachment of the conjoined tendon gave pain relief in all, and complete relief in six. This procedure is described and recommended.
منابع مشابه
Coracoid impingement syndrome: a literature review
Coracoid impingement syndrome is a less common cause of shoulder pain. Symptoms are presumed to occur when the subscapularis tendon impinges between the coracoid and lesser tuberosity of the humerus. Coracoid impingement should be included in the differential diagnosis when evaluating a patient with activity-related anterior shoulder pain. It is not thought to be as common as subacromial imping...
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Symptomatic impingement of the rotator cuff between the humeral head and the coracoid process has been studied and three varieties recognised: idiopathic, iatrogenic and traumatic. In all three the clinical findings consisted of pain in front of the shoulder, referred to the upper arm and forearm, and especially felt during forward flexion and medial rotation; the pain could be reproduced by me...
متن کاملAnatomic Study of Subcoracoid Morphology in 418 Shoulders: Potential Implications for Subcoracoid Impingement
BACKGROUND Subcoracoid impingement has been implicated as a cause of anterior shoulder pain and subscapularis tendon tears. PURPOSE/HYPOTHESIS The purpose of this study was to evaluate the bony anatomy of the coracoid process and the subcoracoid space. We hypothesized that age-related changes that may contribute to subcoracoid impingement occur in the subcoracoid space. STUDY DESIGN Descrip...
متن کاملThe Diagnosis and Prognosis of Impingement Syndrome in the Shoulder with Using Quantitative SPECT Assessment: A Prospective Study of 73 Patients and 24 Volunteers
BACKGROUND Diagnosing impingement syndrome without rotator cuff tear usually depends on the physical examination and roentgenography, and obtaining objective evidence for this condition is at best difficult. The purpose of this study was to ascertain whether quantitatively assessing this condition with using single photon emission computerized tomography (SPECT) can diagnose impingement syndrom...
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Soft tissue impingement of the shoulder occurs in two critical areas; the subacromial space and coracohumeral space, areas often associated with shoulder dysfunction, pain and injury. Impingement has been described in several different anatomic locations and can be affected by gleno-humeral positioning. Sub-acromial and sub-coracoid impingement have been described as possible sources of pain an...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 72 2 شماره
صفحات -
تاریخ انتشار 1990