Impingement Syndrome

Impingement Syndrome; The shoulder joint is a joint between the head of the arm bone (humerus) and the nest part of the blade bone (glenoid). There is a roof-like acromion just above the joint.

Rotator cuff tendons adhering to the arm bone are located under the acromion and function in shoulder lifting and rotating movements. The rotator cuff tendons consist of 4 tendons, with contraction of these tendons shoulder moves.

There is a space between the acromion and these tendons that allows movement, and there is a subacromial bursa mentioned above, which makes it easier to move by providing lubricity between the tendons and the bone.

In the event of this cavity is narrowed for any reason, impingements occur and pain in the shoulder occurs when lifting the arm. This can often occur due to age-related changes or structure of the acromion bone.

Early administration of medication and physical therapy is beneficial, sometimes local cortisone injections into the cavity may benefit by healing edema in the bursa and tendon. Surgery can be performed in patients who do not benefit from physical therapy.

Narrowed space should be eliminated by widening it with shoulder arthroscopy. In arthroscopy, very small incisions are made, and camera and instruments are inserted through these incisions and the acromion bone is trimmed and suturing of the ruptured tendons can be performed.

Arthroscopic surgery has many advantages over open surgery. With arthroscopic surgery, the postoperative pain of the patients is much less and the risk of infection and damage to the surrounding tissues is less compared the open surgery. In addition, rehabilitation and returning back to daily life period are shorter.