EC Orthopaedics

Pain in the shoulder joint associated with damage to the periarticular tissues is one of the most common complaints among the adult population. The prevalence of this pathology is clearly related to age, from 3 - 4% in people aged 40 - 44 years to 15 - 20% in people 60 - 70 years old. Most cases of shoulder pain are associated with pathology of the periarticular rotator cuff, which was first described by Monroe in 1788. Impingement syndrome (hereinafter referred to as IS) of the shoulder joint or humeral head impingement syndrome is a disease that includes tendinitis of the rotator cuff muscles at the point where they pass through the subacromial space. Along with inflammation of the rotator cuff tendons, supraspinatus tendonitis occurs [1], which is often associated with IS. This can lead to pain, weakness, and loss of motion in the shoulder joint.

1. Umer M., et al. “Subacromial impingement syndrome”. Orthopedic Reviews2 (2012): 79-82.
2. Builova TV., et al. “Rehabilitation for periarticular pathology of the shoulder joint”. Ministry of Health of the Russian Federation. Federal Clinical Guidelines (2015): 21.
3. Beirer M., et al. “Impingement-Syndrome der Schulter”. Der Ortopade4 (2017): 373-386.
4. Oh JH., et al. “The effect of continuity of care on medical costs in patients with chronic shoulder pain”. Scientific Reports 1 (2021): 4077.
5. Nasnikova I Yu., et al. “Shoulder joint impingement syndrome: possibilities of modern ultrasound diagnostics”. Kremlin Medicine 1 (2014): 72-76.
6. Nesterenko VA., et al. “Variants of impingement Syndrome of the shoulder joint”. Rheumatology Science and Practice 1 (2023): 120-128.
7. Shostak NA., et al. “Pathology of the shoulder joint and soft tissues: clinical variants, current capabilities of pathogenesis-directed therapy”. The Clinician1-4 (2021): 47-54.