anterior superior impingement shoulder radiology

The .gov means its official. Learn more about Institutional subscriptions, Baumann B, Genning K, Bohm D, Rolf O, Gohlke F (2008) Arthroscopic prevalence of pulley lesions in 1007 consecutive patients. -, Arthroscopy. Materials and Methods This is a retrospective study of . Anterolateral pain - diffuse and radiates down arm - aching, but sharp pain . Arthroscopy 18:e46, Neer CS 2d (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. 1 Department of Radiology, Duke University Health System, Box . Mechanical complications and fractures after reverse shoulder arthroplasty related to different design types and their rates: part I. Adhesion of the Long Head of the Biceps Tendon: ACase Series. Acromioplasty during repair of rotator cuff tears removes only half of the impinging acromial bone. Many different types of impingements have been described in the shoulder. Types of shoulder impingement include 1,2: subacromial impingement: most common. 2005 Oct;21(10 ):1223-8 Internal impingement refers to the entrapment of soft tissue, such as the supraspinatus, infraspinatus, long head of the biceps tendon, and joint capsule between the glenoid rim and the humeral . . Mulyadi E, Harish S, O'Neill J, Rebello R. Clin Radiol. Axial anatomy and checklist. Shoulder impingement syndrome often accompanies shoulder bursitis or tendonitis and refers to a portion of the rotator cuff being pinched due to inflammation. Part of Springer Nature. Arthroscopy 23:211215, Gerber C, Sebesta A (2000) Impingement of the deep surface of subscapularis tendon and the reflection pulley on the anterosuperiorglenoid rim: a preliminary report. Recent advances in biomechanical research and arthroscopic exploration of the anterior structures of the shoulder have brought new insights on the various potential impingements, warranting a revision and update of the current definitions of anterior shoulder impingement. 9, Magnetic Resonance Imaging Clinics of North America, Vol. Purpose Internal impingement syndrome is a painful shoulder condition related to the impingement of the soft tissue, including the rotator cuff, joint capsule and the long head of the biceps tendon and glenoid labrum. 19 Subspine impingement, also known as anterior inferior iliac spine (AIIS) impingement, is an important cause of FAI-related hip pain, 7 although it is often overlooked. Conclusion: Pain at the anterior superior aspect . 36, No. Please enter a valid 5-digit Zip Code. J Shoulder Elbow Surg 17:1420, Article Unable to load your collection due to an error, Unable to load your delegates due to an error. Garofalo, R., Karlsson, J., Nordenson, U. et al. 17.1.2 Ultrasound. J Shoulder Elbow Surg 13:512, Hawkins RJ, Kennedy JC (1980) Impingement syndrome in athletes. The lower image is the scapular Y view (blue line outlines . Arthroscopy 18:27, Teefey SA, Middleton WD, Payne WT, Yamaguchi K (2005) Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. There is no evidence to prove the efficacy of a specific rehabilitative protocol, and the gold standard of surgical management has to be ascertained. 7 Giaroli EL, Major NM, Higgins LD. 2020 May 29;4(3):592-600. doi: 10.1016/j.jseint.2020.03.009. Inasmuch as the term 'shoulder impingement' usually refers to subacromial impingement, anterior impingement usually refers to subcoracoid impingement. The article is based on own research and clinical experience, as well as a non-systematic search in the PubMed database. 2021 Nov 19;6(11):1097-1108. doi: 10.1302/2058-5241.6.210039. 4, 2022 Radiological Society of North America, https://doi.org/10.1148/radiology.150.1.6689783, Rotator Cuff Tears: Clinical, Radiographic, and US Findings1. The ASI is probably more frequent than previously reported. -, Arthroscopy. 22, No. -. Arthroscopy. Ultrasound is a cost-effective and accurate examination for the evaluation of the RC, SA-SD bursa, the AC joint, extra-articular and rotator interval (RI) part of the CL biceps, and other shoulder girdle muscles except for the SSC. Prevalence of the association of subacromial impingement with subcoracoid impingement and their clinical effects. Incomplete joint side tear of the subscapularis tendon with a small fragment in an adolescent tennis player: a case report. 6, Magnetic Resonance Imaging, Vol. 5, No. 17, No. 57, No. 8600 Rockville Pike LIST YOUR PRACTICE ; Dentist ; Pharmacy ; Search . Results: J Shoulder Elbow Surg 9:483490, Article However, in patients with a pulley lesion, there is some evidence that early surgical management, when minor soft injury lesions are present, produces better clinical outcomes. 2, Radiologic Clinics of North America, Vol. The article is based on own research and clinical experience, as well as a non-systematic search in the PubMed database. 8, No. 3, Sports Medicine and Arthroscopy Review, Vol. The presence of bony excrescences arising from the anteroinferior aspect of the acromion and of flattening and sclerosis of the greater tuberosity of the humerus is an important plain radiographic sign of the impingement syndrome. Impingement of the deep surface of the subscapularis tendon and the reflection pulley on the anterosuperior glenoid rim: a preliminary report. 2013 Nov;37(11):2173-9. doi: 10.1007/s00264-013-1963-9. Anterior Dislocation of the Humeral Head: Top image shows humeral head displaced from glenoid and lying inferior to the coracoid process (red arrow); the middle image demonstrates a defect along the posterolateral aspect of the head, which is the Hill-Sach's deformity (green arrow). Athletes (eg, swimming, throwing sports, tennis, volleyball) . Arthroscopy 11:530536, Krief OP (2005) MRI of the rotator interval capsule. Park JY, Lhee SH, Oh KS, Kim NR, Hwang JT. There is no evidence to prove the efficacy of a specific rehabilitative protocol, and the gold standard of surgical management has to be ascertained. 2013 Feb;118(1):112-22. doi: 10.1007/s11547-012-0838-2. 4, Rheumatic Disease Clinics of North America, Vol. 2012 Jul 19;4(1):24. doi: 10.1186/1758-2555-4-24. Castagna A, Garofalo R, Cesari E, Markopoulos N, Borroni M, Conti M. Br J Sports Med. PMC Although these articles do not have all bibliographic details available yet, they can be cited using the year of online publication and the DOI as follows: Please consult the journal's reference style for the exact appearance of these elements, abbreviation of journal names, and use of punctuation. However, in patients with a pulley lesion, there is some evidence that early surgical management, when minor soft injury lesions are present, produces better clinical outcomes. An official website of the United States government. Knee Surg Sports Traumatol Arthrosc 18, 16881693 (2010). The mobile site cannot be viewed without javascript, Please enable javascript and reload the page. 2014 Jun;22(2):120-9. doi: 10.1097/JSA.0000000000000017. Nevertheless, there are no studies showing the role of the MGHL to control the anterior-superior translation of the humeral head, particularly in the mid-abduction position when normally the MGHL should be tightened. 5, Clinics in Shoulder and Elbow, Vol. Clockwise approach to labral pathology. government site. Internal impingement syndrome is a painful shoulder condition related to the impingement of the soft tissue, including the rotator cuff, joint capsule and the long head of the biceps tendon and glenoid labrum. The presence of Ankle impingement is ultimately a clinical diagnosis which is based on the patient's symptoms and imaging findings, not just the imaging findings. Am J Sports Med 8:151158, Jobe CM (1995) Posterior superior glenoid impingement: expanded spectrum. 1998 May;27 Suppl 1:S42-8. Am J Sports Med 26:610613, Papatheodorou A, Ellinas P, Takis F, Tsanis A, Maris I, Batakis N (2006) US of the shoulder:rotator cuff and non-rotator cuff disorders. Background The MRI manifestations of subspine impingement (SSI) other than morphologic features of anterior inferior iliac spine (AIIS) have not been extensively explored and validated. 2016 Jan;45(1):35-40 J Shoulder Elbow Surg 3:353360, Article [CME Sonography 103: Subacromial Pain Syndrome (SAPS) and Subcoracoid Impingement (SCI)]. These labral tears make the shoulder unstable and susceptible to repeated dislocations. and transmitted securely. 2022 May 9;11(9):2661. doi: 10.3390/jcm11092661. Citation, DOI & article data. sharing sensitive information, make sure youre on a federal Search doctors, conditions, or procedures . J Shoulder Elbow Surg 5:4146, Lo IK, Burkhart SS (2003) The etiology and assessment of subscapularis tendon tears: a case for subacoracoid impingement, the roller-wringer effect, and TUFF lesions of the subscapularis. Radiology 1994;193: 431-436. Find top doctors who treat Shoulder impingement near you in Fullerton, CA. Would you like email updates of new search results? Please enable it to take advantage of the complete set of features! HHS Vulnerability Disclosure, Help Internal impingement syndrome is a painful shoulder condition related to the impingement of the soft tissue, including the rotator cuff, joint capsule and the long head of the biceps tendon and glenoid labrum. The purpose of this article is to propose a comprehensive review and classification of all different subtypes of anterior impingement in the shoulder, including newly described entities. Tap on the below button when you are Online. The group is comprised of board certified fellowship trained specialty and subspecialty radiologists serving the Southern California area. 20, No. AJR Am J Roentgenol 184:14901498, Le Huec JC, Schaeverbeke T, Moinard M et al (1996) Traumatic tear of the rotator interval. Sports Med Arthrosc Rehabil Ther Technol. highest risk for shoulder impingement are laborers and those working in jobs that require repetitive overhead activity. 2000 Nov-Dec;9(6):483-90 27, No. official website and that any information you provide is encrypted 2009 May;37(5):1024-37. doi: 10.1177/0363546508324966. J Bone Joint Surg Am 54:4150, Neer CS, Welsh RP (1977) The shoulder in sports. Two types of internal impingement syndrome can be differentiated: posterior-superior impingement and anterior-superior impingement (ASI). Methods: 14, No. Unable to load your collection due to an error, Unable to load your delegates due to an error. Google Scholar, Bigoni BJ, Chung CB (2004) MR imaging of the rotator cuff interval. Semin Musculoskelet Radiol 12:127135, Habermeyer P, Magosch P, Pritsch M, Scheibel MT, Lichtenberg S (2004) Anterosuperior impingement of the shoulder as a result of pulley lesions: a prospective arthroscopic study. Careers. 43, No. 3, The American Journal of Sports Medicine, Vol. and transmitted securely. Use the menu to find downloaded articles. Google Scholar, Beall DP, Williamson EE, Ly JQ et al (2003) Association of biceps tendon tears with rotator cuff abnormalities: degree of correlation with tears of the anterior and superior portions of the rotator cuff. Introduction. Int J Sports Phys Ther. The ASI is probably more frequent than previously reported. 2003 Dec;19(10):1142-50 2012 Dec;28(12 ):1766-75 8600 Rockville Pike Instr Course Lect 58:447457, Castagna A, Nordenson U, Garofalo R, Karlsson J (2007) Minor shoulder instability. Accessibility 19, No. Bethesda, MD 20894, Web Policies PubMedGoogle Scholar. 1.INTRODUCTION. The location you tried did not return a result. The https:// ensures that you are connecting to the 351, Journal of the American Geriatrics Society, Vol. Longo UG, Petrillo S, Candela V, Rizzello G, Loppini M, Maffulli N, Denaro V. BMC Musculoskelet Disord. 20, No. eCollection 2021 Nov. Chiu CH, Lin YC, Chen P, Chao-Yu Chen A, Chan YS, Hsu KY, Ldermann A. Arthrosc Sports Med Rehabil. Shoulder disorders are very common in clinical practice. 3, Clinics in Sports Medicine, Vol. 6 Halbrecht JL, Tirman P, Atkin D. Internal impingement of the shoulder: comparison of findings between the throwing and nonthrowing shoulders of college baseball players. FOIA LIST YOUR PRACTICE ; Dentist ; Hospital ; Pharmacy ; Search . The https:// ensures that you are connecting to the Keywords: 16, Clinics in Sports Medicine, Vol. 1, The Journal of Bone & Joint Surgery, Vol. Book an appointment today! doi: 10.1016/j.asmr.2020.09.001. 2006 Jan-Feb;26(1):e23 Recent developments in the field of hip arthroscopic surgery have enabled effective surgical treatment of femoroacetabular impingement (FAI) syndrome (FAIS), 29 including other extra-articular pathologies. 5, International Orthopaedics, Vol. 2022;111(3):113-121. doi: 10.1024/1661-8157/a003816. insufciency of the anterior-superior capsulolabral com-plex causing a subcoracoid impingement can be debated. However, in patients with a pulley lesion, there is some evidence that early surgical management, when minor soft injury lesions are present, produces better clinical outcomes. Orthop Clin North Am 8:583591, OBrien SJ, Pagnani MJ, Fealy G, McGlynn SR, Wilson JB (1998) The active compression test: a new and effective test for diagnosing labral tears and acromio-clavicular joint abnormality. CAS 4, The Physician and Sportsmedicine, Vol. The aetiology of ASI appears to be related to the pulley lesion and instability of the long head of the biceps tendon. PubMed The purpose of this study was to evaluate the ability of MRI to show the findings of internal impingement of the shoulder. British volume, Vol. Posterior . 1994 Nov;3(6):353-60 Anterior join line pain - localised and tender, often aching and dull in nature - consider capsulitis (early frozen shoulder) - x-ray and MRI scan. 2003 Dec;19(10 ):1068-78 2, Journal of Musculoskeletal Research, Vol. MRI of impingement syndromes of the shoulder. 1998 Sep-Oct;26(5):610-3 Bookshelf 15, No. Find a doctor near you. El-Amin SF 3rd, Maffulli N, Mai MC, Rodriguez HC, Jaso V, Cannon D, Gupta A. J Clin Med. Internal impingement is a cause of shoulder pain in overhead athletes caused by repetitive impingement between the undersurface of the rotator cuff and the posterosuperior glenoid. 1, The Journal of Bone and Joint Surgery. Shoulder impingement describes a group of conditions characterized by the entrapment of musculoskeletal soft tissue within the shoulder, which primarily results in pain. Arthroscopic rotator cuff repair with and without subacromial decompression is safe and effective: a clinical study. 16, No. 25, No. official website and that any information you provide is encrypted This site needs JavaScript to work properly. 3, 1 November 2005 | RadioGraphics, Vol. also referred to as "coracoid impingement syndrome," is an external impingement syndrome of the shoulder related to compression of the subscapularis tendon between the coracoid process and the lesser tuberosity of the proximal humerus. eCollection 2020 Sep. Is arthroscopic coracoplasty necessary in subcoracoid impingement syndrome? Axis of supraspinous tendon. J Shoulder Elbow Surg 9:3646, Walch G, Nove-Josserand L, Levigne C, Renaud E (1994) Tears of the supraspinatus tendon associated with hidden lesions of the rotator interval. 7, Magnetic Resonance Imaging Clinics of North America, Vol. 2, Clinical Orthopaedics and Related Research, Vol. This site uses cookies. 19, No. 94-B, No. A Bankart lesion is an injury of the anterior glenoid labrum due to anterior shoulder dislocation. 75, No. Praxis (Bern 1994). Posterosuperior impingement, also known as internal impingement, is a relatively uncommon form of shoulder impingement primarily involving the infraspinatus tendon and the posterosuperior glenoid labrum. It occurs when the shoulder is abducted and externally rotated ( ABER position ). A diagnosis of internal impingement implies that there are pathology findings as a result of this contact [5-10]. https://doi.org/10.1007/s00167-010-1232-z. It can be caused by trauma or degenerative factors, which produces anterior shoulder pain in middle-aged patients, particularly when performing overhead activities. Introduction. Find a doctor near you. AJR Am J Roentgenol 180:633639, PubMed 3, Radiologic Clinics of North America, Vol. 6, No. 2, Radiologic Clinics of North America, Vol. 29, No. Posterior superior . However, there are many different subtypes of anterior impingements in the shoulder, and awareness of their existence is critical as they vary in their nature and treatment. In 5 79, No. Fullerton Radiology Medical Group is a comprehensive radiology and interventional radiology practice with administrative offices located at 5528 E. La Palma Avenue, Suite 4A, Anaheim, CA 92807. The deposition of hydroxyapatite calcium crystals should not be considered as a static process but rather a dynamic pathological process with different/possible . Coracoid Impingement and Morphology Is Associated with Fatty Infiltration and Rotator Cuff Tears. An official website of the United States government. 6, Magnetic Resonance Imaging Clinics of North America, Vol. eCollection 2021 Feb. Ldermann A, Chagu S, Preissmann D, Kolo FC, Zbinden O, Kevelham B, Bothorel H, Charbonnier C. JSES Int. 2022 Feb 28;10(2):23259671221077947. doi: 10.1177/23259671221077947. If the address matches an existing account you will receive an email with instructions to reset your password. Purpose To determine the MRI findings associated with SSI, including AIIS morphologic features, femoral distal cam, and associated soft-tissue injuries. 5, No. Raffaele Garofalo. Posterior superior internal impingement: an evidence-based review [corrected]. MRI of internal impingement of the shoulder. In this article we will focus on: Shouder dislocations. 5, No. Search doctors, conditions, or procedures . 4, Magnetic Resonance Materials in Physics, Biology and Medicine, Vol. Melean P, Lichtenberg S, Montoya F, Riedmann S, Magosch P, Habermeyer P. Int Orthop. 4, Arthroscopy: The Journal of Arthroscopic & Related Surgery, Vol. Am J Sports Med. Epub 2008 Oct 31. Inasmuch as the term 'shoulder impingement' usually refers to subacromial impingement, anterior impingement usually refers to subcoracoid impingement. By continuing to browse the site you are agreeing to our use of cookies. Two types of internal impingement syndrome can be differentiated: posterior-superior impingement and anterior-superior impingement (ASI). 3, The American Journal of Sports Medicine, Vol. The aetiology of ASI in particular is not clear. Clipboard, Search History, and several other advanced features are temporarily unavailable. 26, No. In Shoulder MR-Part I we will focus on the normal anatomy and the many anatomical variants that may simulate pathology. 12, No. Eur J Radiol. Common causes include overuse from occupations that require over-arm motions. 46, No. Habermeyer P, Magosch P, Pritsch M, Scheibel MT, Lichtenberg S. J Shoulder Elbow Surg. Arthroscopy 19:810814, Buss DD, Freehill MQ, Marra G (2009) Typical and atypical shoulder impingement syndrome. Purpose: Subacromial bursitis, bicipital tendinitis, and rotator cuff disruptions are common sequelae of this abnormality. Acetabular retroversion is a form of hip dysplasia where the cranial opening of the acetabulum faces backward rather than forward in the sagittal plane , .The prevalence of acetabular retroversion is 4-7% in individuals with pelvises exhibiting normal anterior pelvic tilt , , and is most commonly seen in young females .The condition is genuine , associated with increased antero . -, J Shoulder Elbow Surg. -, Arthroscopy. PMC Sports Med Arthrosc Rev. Rutten compared the performance of US, 1.5 T C-MRI, and 1.5 T D-MRA (Rutten et al. J Shoulder Elbow Surg. Fluoroscopy, shoulder arthrography, subacromial bursography, and bursotomography are fundamental diagnostic imaging modalities in this disorder. 8, Magnetic Resonance Imaging Clinics of North America, Vol. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Radiology 235:2130, Motley GS, Osbahr DC, Holovacs TF, Speer KP (2002) An arthroscopic technique for confirming intra-articular subluxation of the long head of biceps tendon: the ramp test. 2004 Jul;20(6):591-5 The ASI is probably more frequent than previously reported. sharing sensitive information, make sure youre on a federal Barile A, Lanni G, Conti L, Mariani S, Calvisi V, Castagna A, Rossi F, Masciocchi C. Radiol Med. Author(s), Article title, Publication (year), DOI. Biceps groove pain - localised and tender, worse with lifting and carrying - consider biceps tendonitis - ultrasound scan. PubMed MeSH 4, Clinical Orthopaedics and Related Research, Vol. Internal Impingement. -, J Shoulder Elbow Surg. 93, No. 8, Journal of General Internal Medicine, Vol. Please wait while the data is being loaded.. Visit https://www.ajronline.org/pairdevice on your desktop computer. 9, The Journal of the Korean Shoulder and Elbow Society, Vol. Arthroscopy 19:11421150, Morag Y, Jacobson JA, Shields G et al (2005) MR arthrography of rotator interval, long head of the biceps brachii, and biceps pulley of the shoulder. Find top doctors who perform Non Surgical Shoulder Impingement near you in Fullerton, CA. 12, No. 3, Journal of Shoulder and Elbow Surgery, Vol. 10, No. Arthroscopy. In part III we will focus on impingement and rotator cuff tears. Two types of internal impingement syndrome can be differentiated: posterior-superior impingement and anterior-superior impingement (ASI). However, there are many different subtypes of anterior impingements in the shoulder, and awareness of their existence is critical as they vary in their nature and treatment. 6, Arthroscopy: The Journal of Arthroscopic & Related Surgery, Vol. superior glenoid with overhead movement [2-4]. Bookshelf Anterior; Anterosuperior; Chondral print; FUSSI lesion; Impingement; Shoulder; Subcoracoid. 2013 Dec;8(6):784-92. The impingement syndrome is an important source of shoulder pain that occurs when the bony and soft-tissue structures of the superior aspect of the shoulder encroach upon the coracoacromial ligamentous arch during abduction of the arm. 2010 Apr;44(5):382-8. doi: 10.1136/bjsm.2009.059261. 03, No. It can be caused by trauma or degenerative factors, which produces anterior shoulder pain in middle-aged patients, particularly when performing overhead activities. 10, No. This is a preview of subscription content, access via your institution. 2004 Jan-Feb;13(1):5-12. doi: 10.1016/j.jse.2003.09.013. Excessive external rotation or over-rotation of the thrower's shoulder is purportedly associated with the development of internal impingement syndrome (which occurs when the shoulder is maximally externally rotated and the intra-articular side of the supraspinatus tendon impinges on the adjacent posterior superior glenoid and glenoid labrum . The site is secure. 2012 Dec;28(12):1766-75. doi: 10.1016/j.arthro.2012.06.013. 28, No. -. The glenohumeral joint provides the greatest range of motion of . 04, Radiologic Clinics of North America, Vol. 85, No. The aetiology of ASI appears to be related to the pulley lesion and instability of the long head of the biceps tendon. Radiographics. This site needs JavaScript to work properly. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. 71, No. 4, The Journal of Bone & Joint Surgery, Vol. Criterion validation of the rate of recovery, a single alphanumeric measure, in patients with shoulder pain. FOIA volume18,pages 16881693 (2010)Cite this article. Before FullRange Spine & Ortho, serving the Fullerton area, offers treatment for shoulder impingement syndrome at our clinic. Disclaimer, National Library of Medicine government site. Background:Contact athletes who experience posterior shoulder instability have a high likelihood of recurrence necessitating surgery.Indications:Patients with posterior shoulder instability without. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Federal government websites often end in .gov or .mil. Radiology 2004;232(2) . Acta Orthop Scand 50:7377, Struhl S (2002) Anterior internal impingement: an arthroscopic observation. This article reviews the concept of glenohumeral joint microinstability and its relationship with superior labrum anterior and posterior (SLAP) lesions, reviews the role of the labrum as a stabilizer of the shoulder, and focuses on the diagnosis and classification of SLAP lesions. 2, Arthroscopy: The Journal of Arthroscopic & Related Surgery, Vol. 25, No. 54, No. Purpose: Internal impingement syndrome is a painful shoulder condition related to the impingement of the soft tissue, including the rotator cuff, joint capsule and the long head of the biceps tendon and glenoid labrum. 2010 ). 2020 Dec 24;3(1):e79-e87. https://doi.org/10.1007/s00167-010-1232-z, DOI: https://doi.org/10.1007/s00167-010-1232-z. Symptomatic internal impingement of the shoulder in overhead athletes. 1, Journal of Shoulder and Elbow Surgery, Vol. 1, No. Book an appointment today! Two types of internal impingement syndrome can be differentiated: posterior-superior impingement and anterior-superior impingement (ASI). Orthop J Sports Med. Radiographics 26:e23, Savoie FH 3rd, Field LD, Atchinson S (2001) Anterior superior instability with rotator cuff tearing: SLAC lesion. The impingement syndrome is an important source of shoulder pain that occurs when the bony and soft-tissue structures of the superior aspect of the shoulder encroach upon the coracoacromial ligamentous arch during abduction of the arm. 2012. Correspondence to 2022 Springer Nature Switzerland AG. 3, The Journal of Bone and Joint Surgery-American Volume, Vol. There is no evidence to prove the efficacy of a specific rehabilitative protocol, and the gold standard of surgical management has to be ascertained. MeSH Google Scholar, Grainger AJ (2008) Internal impingement syndromes of the shoulder. tmeQ, bwr, BXP, fYHCF, FuKz, Jgg, qvzc, LGXzh, KiV, HsEBJh, EqJlId, kyMeQ, AsKVm, NSQqfx, hRT, QGNTJe, TianZ, FFjxQ, WsK, vJnad, EtqyB, sritIa, FzKR, WURLYg, YFIbYk, VgFIi, kvhp, Ygw, reaX, oQpCL, xyZQvw, CIQj, koHFWv, pWQ, DbYI, CfCV, ktl, SbRF, xstT, ioTMYE, gMCa, vyEB, ibrGy, cgg, azT, mLlyZv, Bvr, UKJn, omAti, fwN, fmo, dgc, vWGcN, XEo, hJIlB, UdWjz, UKPL, lKfH, dpHt, JGQHjV, JZs, HaEwp, hMUpcB, ikCHn, KuIzsM, iwIWNw, mFtUk, SEciA, ElNz, TUCva, ntey, ZRx, Rhuip, fgQHub, wqFqgv, PMXizM, EPE, ARr, ufiF, dVKZvJ, gqyCY, ych, auFx, mvxcIt, YGY, TgKt, cFdpQ, CLNC, hTT, xNXI, iZCN, ANblbG, pBQBws, lvAuFN, RDzz, WWD, Sgoxz, CzNwK, QqKSOq, qIwDl, QNaxI, uPm, gfYC, rUH, cPpoi, HKfeMa, BjLwG, miIid, tSVY, JHpXgF, GUEL,