Shoulder - Subacromial decompression

Indications for Treatment:
Subacromial impingement with rotator cuff tendinitis is a very common condition seen by both
orthopedic surgeons and physical therapists.
3, 12, 16
   Impingement syndrome refers to a
pathological condition in which the suprahumeral structures are compressed against the
anteroinferior aspect of the acromion and/or the coracoacromial ligament.
 3, 11, 16, 24
  The
structures most often involved are the rotator cuff tendons, the long head of the biceps and the
subacromial bursa.

 Rotator cuff syndrome is a term that is often used to describe the process
when both rotator cuff tendinitis and impingement are thought to be occurring simultaneously.


There are four major causes of rotator cuff tendinitis: external impingement, internal anatomical
impingement, functional overload and intrinsic tendinopathy.

   Rotator cuff tears can occur
either traumatically or by the result of the degenerative process of tendinopathy.

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