Abstract
Rotator cuff (RTC) tendonitis is a common shoulder pathology originating from a variety of extrinsic factors, intrinsic pathology, or a combination of both. It can be challenging to diagnose the underlying issue; however it is imperative to identify in order to select the appropriate treatment and optimize outcomes. The mainstay of treatment is nonoperative management. Following an adequate trial of non-operative management, surgical intervention may be warranted and should address the concomitant pathology including osseous and soft tissue sources of extrinsic compression. Anatomical variations of the acromion should be identified and addressed when appropriate. Surgeons should also take into consideration the distal clavicle and acromioclavicular joint as possible sources of symptoms. A careful history and physical exam in conjunction with radiographs and advanced imaging can assist in the appropriate treatment of patients with rotator cuff tendonitis that have failed nonoperative management.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Luime JJ, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73–81.
Neer CS, Poppen NK. Supraspinatus outlet. Orthop Trans. 1987;11:234.
Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972;54(1):41–50.
Seitz AL, et al. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? Clin Biomech (Bristol, Avon). 2011;26(1):1–12.
Shaffer BS. Painful conditions of the acromioclavicular joint. J Am Acad Orthop Surg. 1999;7(3):176–88.
Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007;35(2):316–29.
Mall NA, et al. Degenerative joint disease of the acromioclavicular joint: a review. Am J Sports Med. 2013;41(11):2684–92.
Beitzel K, et al. Sequential resection of the distal clavicle and its effects on horizontal acromioclavicular joint translation. Am J Sports Med. 2012;40(3):681–5.
Stine IA, Vangsness CT Jr. Analysis of the capsule and ligament insertions about the acromioclavicular joint: a cadaveric study. Arthroscopy. 2009;25(9):968–74.
Ellman H. Arthroscopic subacromial decompression: analysis of one- to three-year results. Arthroscopy. 1987;3(3):173–81.
Esch JC, et al. Arthroscopic subacromial decompression: results according to the degree of rotator cuff tear. Arthroscopy. 1988;4(4):241–9.
Kay SP, Ellman H, Harris E. Arthroscopic distal clavicle excision. Technique and early results. Clin Orthop Relat Res. 1994;301:181–4.
Tolin BS, Snyder SJ. Our technique for the arthroscopic Mumford procedure. Orthop Clin North Am. 1993;24(1):143–51.
Frieman BG, Albert TJ, Fenlin JM Jr. Rotator cuff disease: a review of diagnosis, pathophysiology, and current trends in treatment. Arch Phys Med Rehabil. 1994;75(5):604–9.
Koester MC, George MS, Kuhn JE. Shoulder impingement syndrome. Am J Med. 2005;118(5):452–5.
MacDonald PB, Clark P, Sutherland K. An analysis of the diagnostic accuracy of the Hawkins and Neer subacromial impingement signs. J Shoulder Elb Surg. 2000;9(4):299–301.
McCallister WV, et al. Open rotator cuff repair without acromioplasty. J Bone Joint Surg Am. 2005;87(6):1278–83.
Chen AL, Rokito AS, Zuckerman JD. The role of the acromioclavicular joint in impingement syndrome. Clin Sports Med. 2003;22(2):343–57.
Kessel L, Watson M. The painful arc syndrome. Clinical classification as a guide to management. J Bone Joint Surg Br. 1977;59(2):166–72.
Watson M. The refractory painful arc syndrome. J Bone Joint Surg Br. 1978;60-B(4):544–6.
Cuomo F, et al. The influence of acromioclavicular joint morphology on rotator cuff tears. J Shoulder Elb Surg. 1998;7(6):555–9.
Petersson CJ, Gentz CF. Ruptures of the supraspinatus tendon. The significance of distally pointing acromioclavicular osteophytes. Clin Orthop Relat Res. 1983;174:143–8.
Brown JN, et al. Shoulder pathology associated with symptomatic acromioclavicular joint degeneration. J Shoulder Elb Surg. 2000;9(3):173–6.
Chronopoulos E, et al. Diagnostic value of physical tests for isolated chronic acromioclavicular lesions. Am J Sports Med. 2004;32(3):655–61.
O’Brien SJ, et al. 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.
Bookman JS, Pereira DS. Ultrasound guidance for intra-articular knee and shoulder injections: a review. Bull Hosp Jt Dis (2013). 2014;72(4):266–70.
Wasserman BR, et al. Accuracy of acromioclavicular joint injections. Am J Sports Med. 2013;41(1):149–52.
Mumford EB. Acromioclavicular dislocation: a new operative treatment. J Bone Joint Surg Am. 1941;23:799–802.
Pensak M, et al. Open versus arthroscopic distal clavicle resection. Arthroscopy. 2010;26(5):697–704.
Bhatnagar A, Bhonsle S, Mehta S. Correlation between MRI and arthroscopy in diagnosis of shoulder pathology. J Clin Diagn Res. 2016;10(2):RC18–21.
Lubowitz JH. Editorial commentary: lesions of the superior labrum from anterior to posterior (SLAP) are a slap in the face to the traditional trinity of history, examination, and imaging. Arthroscopy. 2015;31(12):2470–1.
Rokito SE, Myers KR, Ryu RK. SLAP lesions in the overhead athlete. Sports Med Arthrosc. 2014;22(2):110–6.
Ortiguera CJ, Buss DD. Surgical management of the symptomatic os acromiale. J Shoulder Elb Surg. 2002;11(5):521–8.
Youm T, et al. Os acromiale: evaluation and treatment. Am J Orthop (Belle Mead NJ). 2005;34(6):277–83.
Edelson JG, Zuckerman J, Hershkovitz I. Os acromiale: anatomy and surgical implications. J Bone Joint Surg Br. 1993;75(4):551–5.
Mudge MK, Wood VE, Frykman GK. Rotator cuff tears associated with os acromiale. J Bone Joint Surg Am. 1984;66(3):427–9.
Warner JJ, Beim GM, Higgins L. The treatment of symptomatic os acromiale. J Bone Joint Surg Am. 1998;80(9):1320–6.
Campbell PT, Nizlan NM, Skirving AP. Arthroscopic excision of os acromiale: effects on deltoid function and strength. Orthopedics. 2012;35(11):e1601–5.
Abboud JA, et al. Surgical treatment of os acromiale with and without associated rotator cuff tears. J Shoulder Elb Surg. 2006;15(3):265–70.
Johnston PS, et al. Os acromiale: a review and an introduction of a new surgical technique for management. Orthop Clin North Am. 2013;44(4):635–44.
Kurtz CA, et al. Symptomatic os acromiale. J Am Acad Orthop Surg. 2006;14(1):12–9.
McClure JG, Raney RB. Anomalies of the scapula. Clin Orthop Relat Res. 1975;110:22–31.
Nicholson GP, et al. The acromion: morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elb Surg. 1996;5(1):1–11.
Uri DS, Kneeland JB, Herzog R. Os acromiale: evaluation of markers for identification on sagittal and coronal oblique MR images. Skelet Radiol. 1997;26(1):31–4.
Hertel R, et al. Transacromial approach to obtain fusion of unstable os acromiale. J Shoulder Elb Surg. 1998;7(6):606–9.
Peckett WR, et al. Internal fixation of symptomatic os acromiale: a series of twenty-six cases. J Shoulder Elb Surg. 2004;13(4):381–5.
Atoun E, et al. Arthroscopically assisted internal fixation of the symptomatic unstable os acromiale with absorbable screws. J Shoulder Elb Surg. 2012;21(12):1740–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Hamula, M.J., Rokito, A.S. (2018). Arthroscopic Treatment of Rotator Cuff Tendonitis Including Treatment of Acromioclavicular Joint Osteoarthritis and Os Acromiale. In: McMahon, P. (eds) Rotator Cuff Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-63668-9_1
Download citation
DOI: https://doi.org/10.1007/978-3-319-63668-9_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-63666-5
Online ISBN: 978-3-319-63668-9
eBook Packages: MedicineMedicine (R0)