ORTHOPEDICS/SHOULDER & ELBOW/SHOULDER DISORDERS
Internal impingement is a particular shoulder damage kind seen principally in improving activities.
Internal impingement is a damage that usually occurs to the following assemblies:
The posterior labrum Internal Impingement
The labrum in the posterior-superior area of the shoulder is frequently worn or moderately damaged.
In more serious situations known as SLAP tear, the slash may extend up towards the biceps tendon attachment.
The rotator cuff Internal Impingement
This damage to rotator cuff occurs when this rotator is moderately worn on its undersurface.
This kind of tear is known as a partial wideness rotator cuff tear.
The difficulty comes from pinching the humerus (tuberosity) against the labrum.
Internal Impingement Symptoms
Patients with internal impingement typically lack internal rotation, which means the lack of ability to completely rotating the shoulder inward.
Frequent Internal Impingement Symptoms are:
- Pain when propelling (such as tennis serves)
- Soreness on the the shoulder front (pectoralis minor tendon/coracoid procedure)
- Bruising around the scapula and the posterior shoulder capsule
Usually shoulder mobility is little deformed with Internal Impingement.
Note that when internal impingement develops, shoulder instability may occur.
Therapy Alternatives
Smooth therapy is performed firstly with most of the patients who start feeling shoulder mechanics problems; therefore, the therapy focuses on regaining normal shoulder rotation.
If pain remains, medical tests including X-rays test are recommended and an MRI may follow, because usually MRI shows more clearly a bruising bone (edema).
The therapy key is working meticulously with a competent therapist to improving shoulder mechanics.
One more therapy alternative may lead to an Arthroscopic shoulder surgery that is commonly performed to repair any rotator cuff or the labrum damage as well as to repair and heal shoulder joint unsteadiness.