(Subacromial impingement syndrome/ shoulder impingement syndrome/ supraspinatus syndrome/ swimmer shoulder/ thrower shoulder)

Introduction

This is a clinical syndrome which is caused due to irritation and inflammation of tendons of rotator cuff muscles as they push through subacromian space beneath the acromian.

Etiology

•           Any cause which leads to narrowing of the sub acromian space can result in painful arc syndrome

•           Subacromian spur

•           O/A spur on acromioclavicular joint

•           variation in shape of acromion

•           thickening or calcification of coracoacromial ligament

•           thickening of subacromial bursa.

Clinical Features

•           Pain

•           weakness

•           loss of movements

•           grinding and popping sensation during shoulder movements

•           decreased range of movements.

Investigations

•           Xrays

•           USG

•           Arthrography

•           MRI

Management

•           Rest

•           Physiotherapy

•           NSAIDs

•           Ice packs

•           Local corticosteroids injections and local anaesthesia

If patient does not respond to the conservative treatment then refer to higher centre where all the facilities are available.