Impingement syndrome acromion does occur. Fourth, it has been suggested that bursal surface cuff tears could be responsible for subacromial spurs and not the opposite. And finally, there is growing evidence that routine acromioplasty may not be required for successful rotator cuff repair, which would be an unexpected finding if acromial shape had a major role in generating tendon lesions. In summary, despite being a popular theory, the bulk of evidence suggest that subacromial impingement probably does not play a dominant role in many cases of rotator cuff disease. Impingement syndrome Shoulder impingement syndrome is a syndrome which occurs when the tendons
Rotator cuff tear or arthritis. Superior labral anterior-posterior lesions produce pain similar to that of rotator cuff tears. Those most prone to failed rotator cuff syndrome are patients 65 years of age or older; and those with large, sustained tears. Smokers, diabetes sufferers, patients with muscle atrophy and/or fatty infiltration, and those who do not follow postoperative-care recommendations also are at greater risk. Doctors examine patients and conduct imaging tests to identify the causes of continued discomfort. Depending upon the diagnosis, several treatment alternatives are available. They include revision repair, nonanatomic repair, tendon transfer and arthroplasty. When possible, surgeons make tension-free repairs in