Impingement Syndrome and Labral Tear in Athletes: Differences in Diagnosis and Management with General Population.
10.5763/kjsm.2017.35.2.91
- Author:
Myo Jong KIM
1
;
Jae Chul YOO
Author Information
1. Department of Orthopaedic Surgery, Samsung Medical Center, Seoul, Korea. shoulderyoo@gmail.com
- Publication Type:Review
- Keywords:
Shoulder impingement syndrome;
Shoulder injuries;
Athletes
- MeSH:
Athletes*;
Debridement;
Diagnosis*;
Humans;
Physical Examination;
Rotator Cuff;
Shoulder Impingement Syndrome;
Tears*;
Tenodesis
- From:The Korean Journal of Sports Medicine
2017;35(2):91-96
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The pathophysiology of impingement syndrome and labral tear was variable and not clear. In general populations, lesions occur mainly in acute cases. But in athletes, lesions are caused by repetitive exposure to excessive force, resulting in different patterns. For diagnosis, thorough physical examinations and radiologic findings should be combined. In athletes, conservative treatment including posterior capsular stretching and periscapular muscle strengthening is recommended as the first choice of treatment considering chronic progression and adaptive change. When choosing surgical treatment because of failure of conservative treatment, careful attention should be paid to the choice of repair or debridement of the rotator cuff partial tear, and the choice of the labral repair or biceps tenodesis.
