1.The Shoulder Gradient in Patients with Unilateral Shoulder Impingement Syndrome.
Hee Sang KIM ; Jong Ha LEE ; Dong Hwan YUN ; Jee Sang YUN ; Yong Won SHIN ; Jinmann CHON ; Dae Gyu HWANG
Annals of Rehabilitation Medicine 2011;35(5):719-724
OBJECTIVE: To investigate the relationship between the shoulder gradient and acromiohumeral interval of both shoulders in patients with unilateral shoulder impingement syndrome. METHOD: Using the angulometer, we measured the shoulder gradient in patients with unilateral shoulder impingement syndrome in a standing position. Using the radiography, we measured the acromiohumeral interval and the angle between a vertical line and a line connecting a superior angle with an inferior angle of the scapula. RESULTS: In patients with unilateral shoulder impingement syndrome, the frequency of shoulder impingement syndrome was 76.2% (16 of 21) on the side of the relatively lower shoulder. The mean acromiohumeral interval on the side of the lower shoulder was 10.03+/-1.28 mm, compared with 10.46+/-1.50 mm for the higher shoulder. The angle between a vertical line and a line connecting a superior angle with an inferior angle of the scapular of the side of the lower shoulder was -0.31+/-3.73 degrees, compared with 3.85+/-4.42 degrees for the higher shoulder. CONCLUSION: The frequency of shoulder impingement syndrome was significantly higher on the side of the relatively lower shoulder, and there is no significant difference in the acromiohumeral interval between the side of the lower shoulder and that of the higher shoulder. In patients with unilateral shoulder impingement syndrome, the scapular on the side of lower shoulder was more rotated downward than on the side of the higher shoulder.
Humans
;
Shoulder
;
Shoulder Impingement Syndrome
3.Simple Radiographic Finding of Subacromial Impingement Syndrome.
Yang Soo KIM ; Yong Chul LEE ; Kun Sang KIM ; Sang Shin JOO ; In Sub SONG ; Kyung Hyo LEE ; Jae Myung CHUN
Journal of the Korean Radiological Society 1995;32(1):169-172
PURPOSE: We evaluated both the patients and the normal volunteers to determine the diagnostic criteria of subacromial impingement syndrome. MATERIALS AND METHODS: We analyzed the radiologic finding of Thirty degree of caudal tilt view (TCTV) and Supraspinatus outlet view (SOV) of 100 shoulders from 85 patients with clinically proved subacromial impingement syndrome and normal 100 shoulders from 60 volunteers. RESULT: In TCTV, the protrusion of acromion below the line of extension from inferior surface of clavicle was shown in 94% of the patient group and 48% in normal group. Sharp tip of acromial protrusion was detectable in 55.3% of the patient group and 10.4% in normal group. In SOV, curved type of acromion was seen in 53% of the normal and 50% in patient group. Hooked type of acromion was detected in 3% and 31% of the normal and patient group, respectively. CONCLUSION: Protrusion of acromion at TCTV itself was not a criteria of subacromial impingement syndrome, but more than 7 mm below the line of extension from inferior surface of clavicle was meanigful. In SOV, hooked type of acromion was a criteria of subacromial impingement syndrome but curved type is was not a finding of diagnostic significence. Acromial spur formation on TCTV and SOV was important criteria of subacromial impingement syndrome.
Acromion
;
Clavicle
;
Healthy Volunteers
;
Humans
;
Shoulder
;
Shoulder Impingement Syndrome*
;
Volunteers
4.Simple Radiographic Finding of Subacromial Impingement Syndrome.
Yang Soo KIM ; Yong Chul LEE ; Kun Sang KIM ; Sang Shin JOO ; In Sub SONG ; Kyung Hyo LEE ; Jae Myung CHUN
Journal of the Korean Radiological Society 1995;32(1):169-172
PURPOSE: We evaluated both the patients and the normal volunteers to determine the diagnostic criteria of subacromial impingement syndrome. MATERIALS AND METHODS: We analyzed the radiologic finding of Thirty degree of caudal tilt view (TCTV) and Supraspinatus outlet view (SOV) of 100 shoulders from 85 patients with clinically proved subacromial impingement syndrome and normal 100 shoulders from 60 volunteers. RESULT: In TCTV, the protrusion of acromion below the line of extension from inferior surface of clavicle was shown in 94% of the patient group and 48% in normal group. Sharp tip of acromial protrusion was detectable in 55.3% of the patient group and 10.4% in normal group. In SOV, curved type of acromion was seen in 53% of the normal and 50% in patient group. Hooked type of acromion was detected in 3% and 31% of the normal and patient group, respectively. CONCLUSION: Protrusion of acromion at TCTV itself was not a criteria of subacromial impingement syndrome, but more than 7 mm below the line of extension from inferior surface of clavicle was meanigful. In SOV, hooked type of acromion was a criteria of subacromial impingement syndrome but curved type is was not a finding of diagnostic significence. Acromial spur formation on TCTV and SOV was important criteria of subacromial impingement syndrome.
Acromion
;
Clavicle
;
Healthy Volunteers
;
Humans
;
Shoulder
;
Shoulder Impingement Syndrome*
;
Volunteers
5.Study for Acromial Type, Acromial Tilt and Subacromial Distances in Subacromial Impingement Syndrome.
Min Seong KIM ; Dong Won PARK ; Sang Hyang OH ; Bong Goo KANG ; Eun CHOI ; Yang Kyun LEE
Journal of the Korean Academy of Rehabilitation Medicine 1999;23(2):384-389
OBJECTIVE: To study the acromial type, acromial angle, acromial tilt and subacromial distances which known as extrinsic factors of subacromial impingement syndrome in groups of subacromial impingement syndrome and normal control. METHOD: The radiography of shoulder named shoulder series composed of AP view, arch view and impingement view was performed in thirty patients with subacromial impingement syndrome and ninety persons with normal adult and we measured the acromial type, acromial angle, acromial tilt, subacromial distances and subacromial spur. RESULTS: Mean subacromial distances of impingement group were 11.3+/-2.4 mm in AP view, 11.1+/-2.5 mm in arch view and those of normal control group were 11.1+/-2.2 mm in AP view, 10.4+/-1.9 mm in arch view. Incidences of acromial type I,II,III in impingement group were 15 (50%), 10 (33.3%), 5 (16.7%) respectively and those in normal control group were 20 (22.2%), 46 (51.1%), 24 (26.7%) respectively. Incidence of subacromial spur was 19 (63.3%) in impingement group and 52 (57.8%) in normal control group. Mean subacromial spur size was 10.0+/-5.4 mm in impingement group and 12.4+/-4.5 mm in normal control group. Mean acromial angle was 27.1+/-8.3 degree in impingement group and 29.1+/-8.7 degree in normal control group. Mean acromial tilt was 28.0+/-6.39 degree in impingement group and 31.8+/-3.4 degree in normal control group. CONCLUSION: No significant statistical difference between subacromial impingement syndrome group and normal control group in acromial type, acromial angle, acromial tilt and subacromial distance known as extinsic factors of subacromial impingement syndrome.
Adult
;
Humans
;
Incidence
;
Radiography
;
Shoulder
;
Shoulder Impingement Syndrome*
6.Effects of Subacromial Bursa Injection With Corticosteroid and Hyaluronidase According to Dosage.
Won Duck CHOI ; Dong Hyun CHO ; Yong Ho HONG ; Jae Hyun NOH ; Zee Ihn LEE ; Seung Deuk BYUN
Annals of Rehabilitation Medicine 2013;37(5):668-674
OBJECTIVE: To evaluate effects of subacromial bursa injection with steroid according to dosage and to investigate whether hyaluronidase can reduce steroid dosage. METHODS: Thirty patients with periarticular shoulder disorder were assigned to receive subacromial bursa injection once a week for two consecutive weeks. Ten patients (group A) underwent subacromial bursa injection with triamcinolone 20 mg; another group of ten patients (group B) with hyaluronidase 1,500 IU and triamcinolone 20 mg; and the other ten patients (group C) with triamcinolone 40 mg. We examined the active range of motion (AROM) of the shoulder joint, visual analogue scale (VAS), and shoulder disability questionnaire (SDQ) at study entry and every week until 1 week after the 2nd injection. RESULTS: All groups showed statistically significant improvements in VAS after 1st and 2nd injections. When comparing the degree of improvement in VAS, there were statistically significant differences between groups C and A or B, but not between groups A and B. SDQ was statistically significantly improved only in groups B and C, as compared to pre-injection. There were statistically significant differences in improvement of SDQ after the 2nd injection between groups C and A or B. Statistically significant improvements in AROM were shown in abduction (groups B and C) and in flexion (group C only). CONCLUSION: Repeated high-dose (40 mg) steroid injection was more effective in terms of pain relief and functional improvements of shoulder joint than medium-dose (20 mg) steroid injection in periarticular disorder. Hyaluronidase seems to have little additive effect on subacromial bursa injection for reducing the dosage of steroid.
Humans
;
Hyaluronoglucosaminidase*
;
Range of Motion, Articular
;
Shoulder
;
Shoulder Impingement Syndrome
;
Shoulder Joint
;
Triamcinolone
;
Surveys and Questionnaires
7.Acromial Downslping and Subacromial Interval in Shoulder Impingement Syndrome
Jin Young PARK ; Moon Jib YOO ; Suk Joo LYU ; Sung Churl LEE ; Myung Ho KIM ; Seung Cheol KIM
The Journal of the Korean Orthopaedic Association 1996;31(4):872-878
INTRODUCTION: There are three anatomic findings that correlate with a patient risk for developing anterior acromial impingement : acromial shape, anterior downsloping of the acromion. To analyze the effect of anterior and lateral downslopings and subacromial interval to the impingement syndrome retrospectively, the authors reviewed 32 patients who performed MRI of the shoulder joint in the Dankook university hoipital. MATERIALS AND METHODS: Eighteen males & fourteen females were reviewed and the average age was 46.6 years old. There were 23 cases of impingement syndrome and 9 cases of control group. The authors analyzed oblique coronal images and oblique sagittal images in shoulder MRI.
Acromion
;
Female
;
Humans
;
Magnetic Resonance Imaging
;
Male
;
Retrospective Studies
;
Shoulder Impingement Syndrome
;
Shoulder Joint
;
Shoulder
8.Segmental Zoster Paresis in Patient with Cervical Disc Disease and Shoulder Impingement Syndrome: A case report.
Ye Soo PARK ; Hyung Jin KIM ; Jae Hang SHIM
Journal of Korean Society of Spine Surgery 2006;13(4):336-338
Herpes zoster is a disease caused by the varicella zoster virus which affects the sensory nerves or peripheral branches of the cranial nerves. Segmental motor paresis, one of the complications of herpes zoster, is a rare complication which can occur two to three weeks after the skin rash develops and involves the corresponding muscle segments to the skin lesions caused by herpes zoster. We treated a patient with segmental zoster paresis who had a disorder similar to herpes zoster.
Cranial Nerves
;
Exanthema
;
Herpes Zoster*
;
Herpesvirus 3, Human
;
Humans
;
Paresis*
;
Shoulder Impingement Syndrome*
;
Shoulder*
;
Skin
9.Shoulder Impingement Syndrome: Evaluation of the Causes with MRI.
Yong Ho CHOI ; In Sup SONG ; Hun Young CHUNG ; Sang Jin YOON ; Yun Sun CHOI ; Yang Soo KIM ; Hyung Jin SHIM ; Young Hee CHOI ; Jong Beum LEE ; Yong Chul LEE ; Kun Sang KIM
Journal of the Korean Radiological Society 1999;41(6):1183-1187
PURPOSE: Various mechanical causes which induce shoulder impingement syndrome have been identified with the help of MRI. The aim of this study is to evaluate the incidence of such causes. MATERIALS AND METHODS: A total of 54 patients with clinically confirmed shoulder impingement syndrome and a normal control group(n=20) without symptoms were included. We evaluated the incidence of hook shaped acromion, low lying acromion, downward slope of the acromion, subacromial spur, acromioclavicular joint hypertrophy, coracoacromial ligament hypertrophy, high cuff muscle bulk, and os acromiale. RESULTS: Among the 54 patients, the following conditions were present: acromioclavicular joint hypertrophy(n=36), coracoacromial ligament hypertrophy(n=20), subacromial spur(n=18), downward sloping of the acromion(n=16), hook shaped acromion(n=11), relatively high cuff muscle bulk(n=6), low lying acromion relative to the clavicle(n=3), and os acromiale(n=1). In the normal control group there were nine cases of acromioclavicular joint hypertrophy, nine of coracoacromial ligament hypertrophy, nine of downward sloping acromion, and three of low lying acromion, but hook shaped acromion, high cuff muscle bulk, and os acromiale were not found. Among 54 patients, the syndrome was due to five simultancous causes in one patient, four causes in two, three causes in 12, two causes in 22, and one cause in 17. CONCLUSION: Hook shaped acromion and subacromial spur are the statistically significant causes of shoulder impingement syndrome. In 69 % of patients, the condition was due to more than one cause.
Acromioclavicular Joint
;
Acromion
;
Deception
;
Humans
;
Hypertrophy
;
Incidence
;
Ligaments
;
Magnetic Resonance Imaging*
;
Shoulder Impingement Syndrome*
;
Shoulder*
10.Ossification of the Coracoacromial Ligament in Subacromial Impingement Syndrome: A Case Report.
Kyupill MOON ; Youn Soo HWANG ; Kyung Taek KIM ; Jin Wan KIM ; Jeong Hoon CHAE
Clinics in Shoulder and Elbow 2017;20(3):167-171
Here, a case of a 59-year-old man with rotator cuff tear and impingement syndrome caused by an ossified coracoacromial ligament is presented. Ossification of the coracoacromial ligaments can occur because of degenerative changes due to trauma or repeated stress, which can lead to impingement syndrome. Therefore, when coracoacromial ligament ossification is present, rotator cuff damage due to impingement syndrome should be considered. Here, we conducted arthroscopic subacromial decompression, removal of the ossified coracoacromial ligament, and supraspinatus and subscapularis tendon repairs. We achieved satisfactory surgical outcomes without relapse; therefore, we report this case with a literature review.
Decompression
;
Humans
;
Ligaments*
;
Middle Aged
;
Recurrence
;
Rotator Cuff
;
Shoulder
;
Shoulder Impingement Syndrome*
;
Tears
;
Tendons