[Impingement syndromes of the shoulder]

Orthopade. 2017 Apr;46(4):373-386. doi: 10.1007/s00132-017-3402-x.
[Article in German]


In addition to tears of the rotator cuff, isolated impingement syndrome of the shoulder is the most common diagnosis in shoulder disorders. This is of high relevance in orthopedic sports medicine. In fact, impingement of the shoulder is not the diagnosis but rather a symptom of a functional or even a structural pathology. Detailed knowledge about the different types of impingement and the underlying causes is essential to provide adequate treatment. Primarily, impingement of the shoulder should be treated nonoperatively. However, if there is no clinical improve despite adequate conservative treatment, there is usually a structural pathology which cannot be adequately compensated for and surgical treatment may be necessary. In the case of severe structural pathologies, such as a full-thickness tear of the rotator cuff, a subsequent surgical treatment may be indicated.

Keywords: Humeral head; Impingement; Instability; Rotator cuff; Subacromial decompression.

Publication types

  • Review

MeSH terms

  • Combined Modality Therapy / methods
  • Decompression, Surgical / methods*
  • Evidence-Based Medicine
  • Exercise Therapy / methods*
  • Humans
  • Musculoskeletal Manipulations / methods*
  • Shoulder Impingement Syndrome / diagnosis*
  • Shoulder Impingement Syndrome / therapy*
  • Shoulder Joint / diagnostic imaging*
  • Treatment Outcome