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KMID : 1037920230100020055
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Arthroscopy and Orthopedic Sports Medicine
2023 Volume.10 No. 2 p.55 ~ p.66
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Internal impingement of the shoulder in sports activity: common overuse injury
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Lee Jae-Heon
Kim Hwa-Pyung
Shon Min-Soo
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Abstract
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Sports-related shoulder injuries are a common condition and are particularly prevalent as an overuse injury caused by repeated microtrauma. This study aimed to provide updated information on pathophysiology, clinical diagnosis, effective treatment, and the importance of preventing internal impingement of the shoulder as a common overuse shoulder injury. Current literature indicates multiple factors that can contribute to developing internal impingement, including anatomical, biomechanical, and other pathologic lesion-associated factors. Internal impingement is diagnosed based on a thorough patient history and physical examination. Magnetic resonance imaging is a gold standard imaging to confirm the diagnosis and rule out other causes of shoulder pain. Treatment, and especially, shoulder internal impingement rehabilitation in athletes should be comprehensive, integrative, and systematic. The best way to prevent internal impingement is to strengthen and stretch the rotator cuff muscles and avoid overhead activities that cause pain. The first-line treatment option is nonsurgical treatment, while patients with more severe symptoms may require surgical treatment.
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KEYWORD
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Shoulder, Rotator cuff, Posterior labrum, Internal impingement, Sports
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