Impingement - CENTRE FOR ORTHOPAEDICS, SPORTS MEDICINE AND REHABILITATION - Dr. Erich H. Rembeck

Impingement-Syndrome (Entrapment Syndrome)

General ponts for Impingment Syndrome

The term "impingement syndrome" summarises various causes which impede the gliding of the supraspinatus tendon below the acromion. The cause of the impaired gliding movement is for example a change in the shape of the acromion. Bone projections at the acromio-clavicular joint (A/C joint) as an expression of arthritis of the A/C joint can lead to a narrowing of the subacromial space and therefore impede the gliding of the supraspinatus tendon. The constant friction of the tendon against the bone results in damage (so-called tendinopathy) which may also lead to a rupture of the tendon.

Aim of the treatment

If conservative measures are not successful, surgical intervention is indicated. The objective of a surgical treatment is to restore the free gliding movement of the tendon in order to prevent complete rupture of the tendon.

Aftercare

From the first day after the operation, the arm should be moved with instruction from a physiotherapist in order to prevent adhesions. A return to work is possible after 3 - 4 weeks. For patients performing heavy physical work, the rehabilitations phase prolongs itself for approx. 6 - 12 weeks. The specific strain on the shoulder region should be taken into consideration when considering the time for resuming a practised type of sport.