The so-called Impingement is the most frequent cause of consultation for shoulder pain in primary care and the Traumatology and Orthopaedic Surgery. It is caused by impingement of the rotator cuff and sub acromial bursa between the acromion bone and the greater or greater tuberosity of the humerus tuberosity bonehead when the arm is abducted.
Clinically, it is presented as a sharp pain on the top or side of the shoulder in activities that involve a movement of the arm above the head, and there may be a pain at rest during the night, disturbing the sleep rhythm. Theremay also be limited movement by shoulder pain, being its evolution in recurrent episodes of pain that can become chronic and reach a torn rotator cuff.
Initial treatment consists of activity modification, reducing the movements of the head, giving anti-inflammatory medicines and applying physiotherapy rotator cuff to tone up and to stretch the joint capsule. Even sometimes the possibility of sub acromial steroid is assessed.
However, the patient should be referred to the orthopaedic surgeon and traumatologist, if there are any large acromioclavicular osteophytes or if the symptoms do not subside, or there is suspicion of a torn rotator cuff.
The shoulder arthroscopy is an emerging surgical technique, not yet widely performed by most orthopaedic surgeons. The advantages over proper techniques include small skin incisions, limited dissection of soft tissue, a much greater definition of the disease and a more tolerable postoperative aggressive therapy; however, it is a technically demanding procedure that requires meticulous attention, but with excellent results (over 85% in the shoulder).
Therefore, if you suffer from any of these problems, do not hesitate to visit the orthopaedic surgeon consultation where we are dedicated to the Medicine and Shoulder Surgery, applying the most advanced reparative surgery: Arthroscopic shoulder surgery.