Shoulder impingement syndrome

Am J Med. 2005 May;118(5):452-5. doi: 10.1016/j.amjmed.2005.01.040.


Subacromial impingement syndrome is a common cause of shoulder pain. The purpose of this article is to review the clinical presentation, physical examination findings, and differential diagnosis of impingement syndrome. Using an evidence-based approach, we propose an algorithm for the management of subacromial impingement syndrome including indications for nonoperative management, advanced imaging, and operative management.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Diagnosis, Differential
  • Humans
  • Physical Therapy Modalities
  • Shoulder Impingement Syndrome* / diagnosis
  • Shoulder Impingement Syndrome* / therapy
  • Shoulder Pain / diagnosis


  • Anti-Inflammatory Agents, Non-Steroidal