EurekaMag
+ Most Popular
Cunninghamia lanceolata plantations in China
Mammalian lairs in paleo ecological studies and palynology
Studies on technological possibilities in utilization of anhydrous milk fat for production of recombined butter-like products
Should right-sided fibroelastomas be operated upon?
Large esophageal lipoma
Apoptosis in the mammalian thymus during normal histogenesis and under various in vitro and in vivo experimental conditions
Poissons characoides nouveaux ou non signales de l'Ilha do Bananal, Bresil
Desensitizing efficacy of Colgate Sensitive Maximum Strength and Fresh Mint Sensodyne dentifrices
Administration of fluid by subcutaneous infusion: revival of a forgotten method
Tundra mosquito control - an impossible dream?
Schizophrenia for primary care providers: how to contribute to the care of a vulnerable patient population
Geochemical pattern analysis; method of describing the Southeastern limestone regional aquifer system
Incidence of low birth weights in a hospital of Mexico City
Tabanidae
Graded management intensity of grassland systems for enhancing floristic diversity
Microbiology and biochemistry of cheese and fermented milk
The ember tetra: a new pygmy characid tetra from the Rio das Mortes, Brazil, Hyphessobrycon amandae sp. n. (Pisces, Characoidei)
Risk factors of contrast-induced nephropathy in patients after coronary artery intervention
Renovation of onsite domestic wastewater in a poorly drained soil
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Systolic blood pressure in a population of infants in the first year of life: the Brompton study
Haematological studies in rats fed with metanil yellow
Studies on pasteurellosis. I. A new species of Pasteurella encountered in chronic fowl cholera
Dormancy breaking and germination of Acacia salicina Lindl. seeds
therapy of lupus nephritis. a two-year prospective study

Communication breakdown: clinicians disagree on subacromial impingement


Communication breakdown: clinicians disagree on subacromial impingement



Medical and Biological Engineering and Computing 52(3): 221-231



ISSN/ISBN: 0140-0118

PMID: 23615729

DOI: 10.1007/s11517-013-1075-0

"Subacromial impingement syndrome (SIS)" is often used as a diagnostic label, but has become more controversial as such in the literature. We assessed views on SIS in clinical practice using a survey with 63 0-10 VAS items among orthopedic surgeons and physical therapists from the United States and the Netherlands. Multivariate regression and cluster analyses were applied to identify consensus items and to study profession and/or nationality effects on item ratings. Most items received neutral or highly variable ratings. Twenty-nine were considered associated with SIS, including worsening of pain with overhead activities, painful arc and a positive Neer's test. Seven items were regarded pleading against SIS, including loss of passive motion. Activity modifications and physical therapy are the most important treatments according to therapists, who highly valued motion-related etiologic mechanisms. Surgeons, with higher ratings for intrinsic and anatomic etiologies, appreciated the use of subacromial corticosteroids and surgery. Clinicians from different professional backgrounds have different views on what SIS is, and even within professional groups, variations are substantial. This has to be taken into account when communicating about SIS symptoms, for example, in intercollegial consultation or scientific research. The authors suggest cautious use of (subacromial) impingement syndrome as a diagnostic label.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052201713

Download citation: RISBibTeXText

Related references

Finnish Subacromial Impingement Arthroscopy Controlled Trial (FIMPACT): a protocol for a randomised trial comparing arthroscopic subacromial decompression and diagnostic arthroscopy (placebo control), with an exercise therapy control, in the treatment of shoulder impingement syndrome. Bmj Open 7(5): E014087, 2017

Subacromial Space in African Great Apes and Subacromial Impingement Syndrome in Humans. International Journal of Primatology 28(4): 865-880, 2007

Ultrasound-guided versus blind subacromial corticosteroid injection for subacromial impingement. Journal of Science and Medicine in Sport 15: S336-S337, 2012

The role of radiological subacromial distance measurements in the subacromial impingement syndrome. European Journal of Orthopaedic Surgery and Traumatology: Orthopedie Traumatologie 23(3): 317-322, 2013

Is local subacromial corticosteroid injection beneficial in subacromial impingement syndrome?. Clinical Rheumatology 23(6): 496-500, 2004

Subacromial injections of corticosteroids and xylocaine for painful subacromial impingement syndrome. Chang Gung Medical Journal 29(5): 474-479, 2006

An investigation into the evidence for subacromial corticosteroid injections for subacromial impingement syndrome. Physiotherapy 105: e67-e68, 2019

Comparison of efficacy of kinesiological taping and subacromial injection therapy in subacromial impingement syndrome. Clinical Rheumatology 35(3): 741-746, 2016

Needle placement approach to subacromial injection in patients with subacromial impingement syndrome: A systematic review. Musculoskeletal Care 17(1): 13-22, 2019

Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome. Knee Surgery Sports Traumatology Arthroscopy: Official Journal of the Esska 23(2): 363-369, 2015

Subacromial Anesthetics Increase Proprioceptive Deficit in the Shoulder and Elbow in Patients With Subacromial Impingement Syndrome. Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders 10: 1179544117713196, 2017

Clinical efficacy of ultrasound-guided subacromial drug injection in the treatment of subacromial impingement syndrome. Zhonghua Wai Ke Za Zhi 56(10): 781-785, 2018

Results of arthroscopic subacromial decompression in patients with subacromial impingement and glenohumeral degenerative joint disease. Journal of Shoulder and Elbow Surgery 11(4): 299-304, 2002

Sonographic assessment of subacromial bursa distension during arm abduction: establishing a threshold value in the diagnosis of subacromial impingement syndrome. Journal of Medical Ultrasonics 45(2): 287-294, 2018

A double-blind randomised controlled study comparing subacromial injection of tenoxicam or methylprednisolone in patients with subacromial impingement. Journal of Bone and Joint Surgery. British Volume 92(1): 77-82, 2010