Abstract
A 45-year-old taxi driver presents with a 6-month history of non-specific anterior shoulder pain. He does not describe any injury but finds that his symptoms are a lot worse after a busy day behind the wheel. Clinical examination reveals tenderness over the tip of the coracoid and a pain provocation over the coracoid area on adduction, forward flexion and internal rotation. Bear hug testing showed weakness of subscapularis along with associated pain.
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References
Garofalo R, Conti M, Massazza G, Cesari E, Vinci E, Castagna A. Subcoracoid impingement syndrome: A painful shoulder condition related to different pathological factors. Musculoskelet Surg. 2011;95(Suppl 1):S25–9.
Freehill MQ. Coracoid impingement: diagnosis and treatment. J Am Acad Orthop Surg. 2011;19(4):191–7.
Goldthwaite JE. An anatomic and mechanical study of the shoulder joint, explaining many cases of painful shoulder, many of the recurrent dislocations and many of the cases of brachial neuralgias or neuritis. Am J Orthop Surg. 1909;6:579–606.
Gerber C, Terrier F, Ganz R. The role of the coracoid process in the chronic impingement syndrome. J Bone Joint Surg Br. 1985;67(5):703–8.
Russo R, Togo F. The subcoracoid impingement syndrome: clinical, semeiologic and therapeutic considerations. Ital J Orthop Traumatol. 1991;17(3):351–8.
Gerber C, Terrier F, Zehnder R, Ganz R. The subcoracoid space. An anatomic study. Clin Orthop Relat Res. 1987;(215):132–8.
Suenaga N, Minami A, Kaneda K. Postoperative subcoracoid impingement syndrome in patients with rotator cuff tear. J Shoulder Elb Surg. 2000;9(4):275–8.
Osti L, Soldati F, Del Buono A, Massari L. Subcoracoid impingement and subscapularis tendon: is there any truth? Muscles Ligaments Tendons J. 2013;3(2):101–5.
Dines DM, Warren RF, Inglis AE, Pavlov H. The coracoid impingement syndrome. J Bone Joint Surg Br. 1990;72(2):314–6.
O’Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med. 1998;26(5):610–3.
McFarland EG, Selhi HS, Keyurapan E. Clinical evaluation of impingement: what to do and what works. Instr Course Lect. 2006;55:3–16.
Brunkhorst JP, Giphart JE, RF LP, Millett PJ. Coracohumeral distances and correlation to arm rotation: an in vivo 3-dimensional biplane fluoroscopy study. Orthop J Sports Med. 2013;1(2):23.
Friedman RJ, Bonutti PM, Genez B. Cine magnetic resonance imaging of the subcoracoid region. Orthopedics. 1998;21(5):545–8.
Giaroli EL, Major NM, Lemley DE, Lee J. Coracohumeral interval imaging in subcoracoid impingement syndrome on MRI. AJR Am J Roentgenol. 2006;186(1):242–6.
Drakes S, Thomas S, Kim S, Guerrero L, Lee SW. Ultrasonography of Subcoracoid Bursal Impingement Syndrome. PM&R. 2015;7(3):329–33.
Tracy MR, Trella TA, Nazarian LN, Tuohy CJ, Williams GR. Sonography of the coracohumeral interval a potential technique for diagnosing coracoid impingement. J Ultrasound Med. 2010;29(3):337–41.
Okoro T, Reddy VR, Pimpelnarkar A. Coracoid impingement syndrome: a literature review. Curr Rev Musculoskelet Med. 2009;2(1):51–5.
Lo IK, Burkhart SS. Arthroscopic coracoplasty through the rotator interval. Arthroscopy. 2003;19(6):667–71.
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Mosaid, S.M., Talbot, C. (2017). Coracoid Impingement. In: Monga, P., Funk, L. (eds) Diagnostic Clusters in Shoulder Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-57334-2_11
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DOI: https://doi.org/10.1007/978-3-319-57334-2_11
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