Another reason for shoulder impingement syndrome to occur is insufficient elevation of the clavicle. Most of scapular upward rotation is actually caused by elevation of the clavicle at the sternoclavicular joint, so if clavicular elevation is prevented for any reason, shoulder impingement syndrome can occur.
For scapular upward rotation to occur, scapular downward rotator musculature must lengthen. If scapular downward rotation muscles are tight, they might not be flexible enough to allow for scapular upward rotation, thereby causing shoulder impingement syndrome to occur.
Shoulder impingement syndrome is a condition in which the distal tendon of the supraspinatus and the subacromial bursa become impinged between the head of the humerus and the acromion process of the scapula. Following are the six major causes of shoulder impingement syndrome.
The findings question the value of shoulder decompression surgery; this should be communicated to patients during the shared decision-making process.
Manual therapy treatment for a pathologic rotator cuff tendon depends on which tendon is affected and the specific pathology of the tendon.
Self-care for the client/patient with rotator cuff pathology depends on the specific muscle that is affected and the specific pathology that is present.
Signs and symptoms of rotator cuff pathology include pain, joint crepitus, weakness, and decreased range of motion when moving the shoulder (glenohumeral) joint.
The two most common types of rotator cuff pathology are rotator cuff tendinitis and rotator cuff tear, most often of the supraspinatus and infraspinatus.
To perform orthopedic manual therapy to the neck that is accurate and specific, we need to know the attachments and actions of the muscles of the neck.