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Internal Impingement

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Diagnostic Clusters in Shoulder Conditions

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Abstract

A 25-year-old professional volleyball player presents with an insidious onset deep posterior shoulder pain and loss of power during play in his dominant arm. Examination reveals a protracted scapula, Glenohumeral Internal Rotation Deficit (GIRD) with an increase in external rotation of the shoulder in the abducted position and a reduced internal rotation, a positive internal impingement test, and a positive relocation test.

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References

  1. Walch G, Boileau P, Noel E, Donell ST. Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: an arthroscopic study. J Shoulder Elb Surg. 1992;1(5):238–45.

    Article  CAS  Google Scholar 

  2. Gold GE, Pappas GP, Blemker SS, Whalen ST, Campbell G, McAdams TA, et al. Abduction and external rotation in shoulder impingement: an open MR study on healthy volunteers initial experience. Radiology. 2007;244(3):815–22.

    Article  PubMed  Google Scholar 

  3. McFarland EG, Hsu CY, Neira C, O’Neil O. Internal impingement of the shoulder: a clinical and arthroscopic analysis. J Shoulder Elb Surg. 1999;8(5):458–60.

    Article  CAS  Google Scholar 

  4. Halbrecht JL, Tirman P, Atkin D. Internal impingement of the shoulder: comparison of findings between the throwing and nonthrowing shoulders of college baseball players. Arthroscopy. 1999;15(3):253–8.

    Article  CAS  PubMed  Google Scholar 

  5. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part I: Pathoanatomy and biomechanics. Arthroscopy. 2003;19(4):404–20.

    Article  PubMed  Google Scholar 

  6. Meister K, Buckley B, Batts J. The posterior impingement sign: diagnosis of rotator cuff and posterior labral tears secondary to internal impingement in overhand athletes. Am J Orthop (Belle Mead NJ). 2004;33(8):412–5.

    Google Scholar 

  7. Paley KJ, Jobe FW, Pink MM, Kvitne RS, ElAttrache NS. Arthroscopic findings in the overhand throwing athlete: evidence for posterior internal impingement of the rotator cuff. Arthroscopy. 2000;16(1):35–40.

    Google Scholar 

  8. Kaplan LD, McMahon PJ, Towers J, Irrgang JJ, Rodosky MW. Internal impingement: findings on magnetic resonance imaging and arthroscopic evaluation. Arthroscopy. 2004;20(7):701–4.

    Article  PubMed  Google Scholar 

  9. Levigne C, Garret J, Grosclaude S, Borel F, Walch G. Surgical technique arthroscopic posterior glenoidplasty for posterosuperior glenoid impingement in throwing athletes. Clin Orthop Relat Res. 2012;470(6):1571–8.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Jobe CM. Posterior superior glenoid impingement: expanded spectrum. Arthroscopy. 1995;11(5):530–6.

    Article  CAS  PubMed  Google Scholar 

  11. Davidson PA, Elattrache NS, Jobe CM, Jobe FW. Rotator cuff and posterior-superior glenoid labrum injury associated with increased glenohumeral motion: a new site of impingement. J Shoulder Elb Surg. 1995;4(5):384–90.

    Article  CAS  Google Scholar 

  12. Mihata T, McGarry MH, Neo M, Ohue M, Lee TQ. Effect of anterior capsular laxity on horizontal abduction and forceful internal impingement in a cadaveric model of the throwing shoulder. Am J Sports Med. 2015;43(7):1758–63.

    Article  PubMed  Google Scholar 

  13. Mihata T, Gates J, McGarry MH, Neo M, Lee TQ. Effect of posterior shoulder tightness on internal impingement in a cadaveric model of throwing. Knee Surg Sports Traumatol Arthrosc. 2015;23(2):548–54.

    Article  PubMed  Google Scholar 

  14. Mihata T, Jun BJ, Bui CN, Hwang J, McGarry MH, Kinoshita M, et al. Effect of scapular orientation on shoulder internal impingement in a cadaveric model of the cocking phase of throwing. J Bone Joint Surg Am. 2012;94(17):1576–83.

    Article  PubMed  Google Scholar 

  15. Osbahr DC, Andrews JR. Arthroscopic treatment of internal impingement. In: Craig EV, editor. The shoulder. 3rd ed. Philadelphia: Wolter Kluwer Health/Lippincott Williams & Wilkins; 2013.

    Google Scholar 

  16. Meister K, Andrews JR, Batts J, Wilk K, Baumgarten T. Symptomatic thrower’s exostosis. Arthroscopic evaluation and treatment. Am J Sports Med. 1999;27(2):133–6.

    Article  CAS  PubMed  Google Scholar 

  17. Winter SB, Hawkins RJ. Comprehensive history and physical examination of the throwing shoulder. Sports Med Arthrosc. 2014;22(2):94–100.

    Article  PubMed  Google Scholar 

  18. Reinold MM, Wilk KE, Dugas JR, Andrews JR. Internal Impingement. In: Wilk KE, Reinold MM, Andrews JR, editors. The Athlete’s Shoulder. 2nd ed. Philadelphia: Churchill Livingstone/Elsevier; 2009. p. 123–41.

    Chapter  Google Scholar 

  19. Jobe CM. Superior glenoid impingement. Current concepts. Clin Orthop Relat Res. 1996;330:98–107.

    Article  Google Scholar 

  20. Laudner KG, Myers JB, Pasquale MR, Bradley JP, Lephart SM. Scapular dysfunction in throwers with pathologic internal impingement. J Orthop Sports Phys Ther. 2006;36(7):485–94.

    Article  PubMed  Google Scholar 

  21. Spiegl UJ, Warth RJ, Millett PJ. Symptomatic internal impingement of the shoulder in overhead athletes. Sports Med Arthrosc. 2014;22(2):120–9.

    Article  PubMed  Google Scholar 

  22. Malone TR. Standardised shoulder examination – clinical and functional approaches. In: Wilk KE, Reinold MM, Andrews JR, editors. The Athlete’s shoulder. 2nd ed. Philadelphia: Churchill Livingstone/Elsevier; 2009. p. 45–53.

    Chapter  Google Scholar 

  23. Drakos MC, Rudzki JR, Allen AA, Potter HG, Altchek DW. Internal impingement of the shoulder in the overhead athlete. J Bone Joint Surg Am. 2009;91(11):2719–28.

    Article  PubMed  Google Scholar 

  24. Thomas SJ, Swanik CB, Higginson JS, Kaminski TW, Swanik KA, Bartolozzi AR, et al. A bilateral comparison of posterior capsule thickness and its correlation with glenohumeral range of motion and scapular upward rotation in collegiate baseball players. J Shoulder Elb Surg. 2011;20(5):708–16.

    Article  Google Scholar 

  25. Meister K. Injuries to the shoulder in the throwing athlete. Part one: biomechanics/pathophysiology/classification of injury. Am J Sports Med. 2000;28(2):265–75.

    Article  CAS  PubMed  Google Scholar 

  26. Wilk KE, Meister K, Andrews JR. Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med. 2002;30(1):136–51.

    Article  PubMed  Google Scholar 

  27. Giaroli EL, Major NM, Higgins LD. MRI of internal impingement of the shoulder. AJR Am J Roentgenol. 2005;185(4):925–9.

    Article  PubMed  Google Scholar 

  28. Connor PM, Banks DM, Tyson AB, Coumas JS, D’Alessandro DF. Magnetic resonance imaging of the asymptomatic shoulder of overhead athletes: a 5-year follow-up study. Am J Sports Med. 2003;31(5):724–7.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Krankenhaus Barmherzige Brüder Regensburg, Regensburg, Germany

    Nicolas J. Dedy Ph.D.

  2. Gold Coast University Hospital, Gold Coast, Australia

    Fraser J. Taylor

Authors
  1. Nicolas J. Dedy Ph.D.
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  2. Fraser J. Taylor
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Corresponding author

Correspondence to Nicolas J. Dedy Ph.D. .

Editor information

Editors and Affiliations

  1. Upper Limb Unit, Wrightington Hospital, Lancashire, United Kingdom

    Puneet Monga

  2. Upper Limb Unit, Wrightington Hospital, Lancashire, United Kingdom

    Lennard Funk

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Dedy, N.J., Taylor, F.J. (2017). Internal Impingement. In: Monga, P., Funk, L. (eds) Diagnostic Clusters in Shoulder Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-57334-2_10

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  • DOI: https://doi.org/10.1007/978-3-319-57334-2_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57332-8

  • Online ISBN: 978-3-319-57334-2

  • eBook Packages: MedicineMedicine (R0)

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