Impingement syndrome in the absence of rotator cuff tear (stages 1 and 2)

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Hawkins RJ. Abrams JS. x Orthopedic Clinics of North America. [JC:okn] 18(3):373-82, 1987 Jul. x Impingement syndrome affects a wide range of today's active population x with various pathologies and presentations. Tendinitis can cause further x subacromial loading, unless specific attention is directed at interrupting x this disorder. Today's emphasis in high-risk populations, such as pitchers x and swimmers, is on prophylaxis. Once symptoms occur, the majority can be x successfully managed with nonoperative measures. Prolonged failure of x conservative care prior to rotator cuff tear requires surgical x decompression with predictable success in most. Results can be optimalized x if strict attention is paid to patient selection, surgical technique, and x a carefully supervised rehabilitation program following surgery. x