Abstract
Posterosuperior impingement is, from a biomechanical point of view, a contact between the posterior superior glenoid rim and the lower surface of the rotator cuff near to its insertion in 90° of abduction, external rotation and horizontal abduction of the arm [9, 11, 15, 24]. At repeated contacts, forced movements as occurs in overhead sports, and increased ventral translation of the humeral head, a pathology develops at the labrum and the supraspinatus tendon which appears arthroscopically as fibrillation and partial rupture [5, 20]. Neer et al. described classic subacromial impingement, in which the rotator cuff is impinged, at forced flexion, underneath the anterior rim of the acromion and the coracoacromial ligament [18, 19]. This traditional mechanism of rotator cuff injury does not explain the observed pathologies of the overhead athlete and has thus to be distinguished from posterosuperior impingement [7, 21].
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References
Andrews JR, Dugas JR (2001) Diagnosis and treatment of shoulder injuries in the throwing athlete: the role of thermal-assisted capsular shrinkage. Instr Course Lect 50:17–21
Bak K, Magnusson SP (1997) Shoulder strength and range of motion in symptomatic and pain-free elite swimmers. Am J Sports Med 25:454–459
Beaulieu CF et al. (1999) Glenohumeral relationships during physiologic shoulder motion and stress testing: initial experience with open MR imaging and active imaging plane registration. Radiology 212:699–705
Blevins FT (1997) Rotator cuff pathology in athletes. Sports Med 24:205–20
Burkhart SS, Morgan CD, Kibler WB (2000) Shoulder injuries in overhead athletes. The “dead arm” revisited. Clin Sports Med 19:125–158
Ciccone W (2000) Multiquadrant digital analysis of shoulder capsular thickness. Arthroscopy 16:457–461
Davidson PA, Ellatrache NS, Jobe CM (1995) Rotator cuff and posterior-superior glenoid labrum injury associated with increased glenohumeral motion: a new site of impingement. J Shoulder Elbow Surg 4:384–390
Garth WP, Armstrong WS (1987) Occult anterior subluxations of the shoulder in non contact sports. Am J Sports Med 15:579–585
Giombini A et al. (1997) Posterosuperior glenoid rim impingement as a cause of shoulder pain in top level waterpolo players. J Sports Med Phys Fitness 37:273–278
Halbrecht JL, Tirman P, Atkin D (1999) Internal impingement of the shoulder: comparison of findings between the throwing and nonthrowing shoulders of college baseball players. Arthroscopy 15:253–258
Jobe CM (1995) Posterior superior glenoid impingement: expanded spectrum. Arthroscopy 11:530–536
Jobe CM (1997) Superior glenoid impingement. Orthop Clin North Am 28:137–143
Jobe F (1993) Classification and treatment of shoulder dysfunction in the overhead athlete. J Orthop Sports Phys Ther 18:427–432
Levitz CL, Dugas J, Andrews JR (2001) The use of arthroscopic thermal capsulorrhaphy to treat internal impingement in baseball players. Arthroscopy 17:573–577
McFarland EG, Hsu SY, Neira C (1999) Internal impingement of the shoulder: a clinical and arthroscopic analysis. J Shoulder Elbow Surg 8:458–460
Meister K et al. (1999) Symptomatic thrower’s exostosis. Arthroscopic evaluation and treatment. Am J Sports Med 27:133–136
Naseef G (1997) The thermal properties of bovine joint capsule. Am J Sports Med 25:670–674
Neer C (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Join Surg Am 54A:41–50
Neer C (1983) Impingement lesions. Clin Orthop 173:70–77
Paley KJ, Jobe FW, Pink MM (2000) Arthroscopic findings in the overhand throwing athlete: evidence for posterior internal impingement of the rotator cuff. Arthroscopy 16:35–40
Parker RD, Seitz WH Jr (1997) Shoulder impingement/instability overlap syndrome. J South Orthop Assoc 6:197–203
Payne L (1997) Arthroscopic treatment of partial rotator cuff tears in young athletes. Am J Sports Med 25:299–305
Tibone J (1985) Shoulder impingement syndrome in athletes treated by an anterior acromioplasty. Clin Orthop 198:134–140
Walch G (1995) Posterosuperior glenoid impingement. In: Burkhead Jr, WZ (ed) Rotator cuff disorders. Saunders, Philadelphia, pp 193–198
Walch G, Noel E, Donell ST (1992) Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: an arthroscopic study. J Shoulder Elbow Surg 8:238–245
Wall M (1999) Thermal modification of collagen. J Shoulder Elbow Surg 8:339–344
Warren R (1983) Subluxations of the shoulder in athletes. Clin J Sport Med 6:339–354
Yanai T, Hay JG (2000) Shoulder impingement in front crawl swimming. II. Analysis of stroking technique. Med Sci Sports Exerc 32(1):30–40
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Jung, D. (2003). Posterosuperior Impingement. In: Lajtai, G., Snyder, S.J., Applegate, G.R., Aitzetmüller, G., Gerber, C. (eds) Shoulder Arthroscopy and MRI Techniques. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55604-3_15
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DOI: https://doi.org/10.1007/978-3-642-55604-3_15
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