Shoulder Impingement

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Impingement syndrome of the shoulder is a little controversial, in that it is often over diagnosed, and possibly even over-treated.  Sometimes, what someone may believe is impingement syndrome may be a problem with the biceps (so called bicipital tenosynovitis, or tendonitis of the biceps), calcific tendonitis (SEE IMAGE)  or even a partial thickness rotator cuff tear with associated inflammation.




However, it can occur rarely, and in those patients again nonoperative management is useful.  The mainstay treatments of anti-inflammatories, and injections are very beneficial in appropriately indicated patients, and rarely an arthroscopic procedure may be warranted like a shoulder rotator cuff surgery, where a small piece of bone is resected and inflamed bursa is removed.