Skip to main content
SpringerLink
Log in

Ätiologie und Klassifikation des Impingement-Syndroms

  • Chapter
Schulterarthroskopie

  • 108 Accesses

Zusammenfassung

Das subakromiale Impingement-Syndrom ist eigentlich eine klar umrissene Diagnose. Leider wird dieser Begriff häufig mit sämtlichen Schmerzzuständen im anterosuperioren Bereich der Schulter gleichgesetzt. Ein „reines“ Impingement-Syndrom kann schwierig zu diagnostizieren sein, zumal sich die klinische Symptomatik sehr unterschiedlich darstellen kann. Deshalb ist es wichtig, eine exakte Differenzierung zwischen einem subakromialen Impingement und anderen Ursachen von Beschwerden im vorderen Schulterraum anzustreben, wie z. B. einer Instabilität, HWS-Problematik, Tendinosis calcarea, Frozen Shoulder, degenerativen Gelenkerkrankung, isolierten akromioklavikulären Osteoarthrose oder Nervenkompression. Vor allem bei jungen Sportlern, die Wurfsportarten ausführen, sollte mit der Diagnose Impingement-Syndrom sehr vorsichtig umgegangen werden, da es sich hier meistens um eine muskuläre Dysfunktion oder Instabilität handelt und aus vielen Studien klar hervorgeht, dass dann eine subakromiale Dekompression zu sehr schlechten Ergebnissen führt [26, 30, 49].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Altcheck DW, Warren RF, Wickiewicz TL, Skyhar MJ, Oritz G, Schwarz E (1990) Arthroscopic acromioplasty. J Bone Joint Surg Am 72: 1198–1207

    Google Scholar 

  2. Aoki M, Ishi J, Usui M (1986) The slope of the acromion and rotator cuff impingement. Orthop Trans 10: 228–231

    Google Scholar 

  3. Armstrong JR (1949) Excision of the acromion and treatment of the supraspinatus syndrome. Report of ninety-five excisions. J Bone Joint Surg Br 31: 436–442

    Google Scholar 

  4. Barthel T, Gohlke F, Gandorfer A, Eulert J (1995) Die Akromionmorphologie und ihre Darstellbarbeit in der Supraspinatustunnelaufnahme. Arthroskopie 8 /5: 218–223

    Google Scholar 

  5. Biedert R, Kentsch A (1989) Arthroskopische Revision des subacromialen Raumes beim Impingementsyndrom. Unfallchirurg 92: 500–504

    PubMed  CAS  Google Scholar 

  6. Bigliani LU, Morrison DS, April EW (1986) The morphology of the acromion and rotator cuff impingement. Orthop Trans 10: 228–233

    Google Scholar 

  7. Bigliani LU (1991) Impingement syndrome: Aetiology and overview. In: Watson MS (ed): Surgical disorders of the shoulder. Churchill Livingstone, New York, pp 237–245

    Google Scholar 

  8. Bigliani LU, D’Alessandro DF, Duvalde XA, Mcllveen SI (1989) Anterior acromioplasty for subacromial impingement in patients younger than 40 years of age. Clin 29. Orthop 248: 111–115

    Google Scholar 

  9. Bigliani LU, Norris TR, Fischer J, Neer CS (1983) The relationship between the unfused acromial epiphysis 30. and subacromial impingement lesions. Orthop Trans 7: 138–143

    Google Scholar 

  10. Codman EA (1911) On stiff and painful shoulders, as 31. explained by subacromial bursitis and partial rupture of the tendon of the supraspinatus. Boston Med Surg J 4: 115–120

    Article  Google Scholar 

  11. Codman EA (1934) The shoulder. Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Tod, Boston

    Google Scholar 

  12. Cofield RH (1985) Current concept review: rotator cuff disease of the shoulder. J Bone Joint Surg Am 67: 34. 974–979

    PubMed  CAS  Google Scholar 

  13. Cotton RE, Rideout DF (1984) Tears of the humeral ro- 35. tator cuff. A radiological and pathological necropsy survey. J Bone Joint Surg Br 48: 314–319

    Google Scholar 

  14. DePalma AF (1973) Surgery of the shoulder, 2nd edn. Lippincott, Philadelphia

    Google Scholar 

  15. Desplates H (1878) De l’atrophie musculaire dans la 37. péri-arthrite scapulo-humérale. G Hebdom Méd Chir 24: 371

    Google Scholar 

  16. Drillings G, Nuber G, Swartz S (1991) Stain measure- 38. ments of the undersurface of the acromion (paper 387). Scientific Program of the 58th Annual Meeting of the American Academy of Orthopaedic Surgeons, Ana- 39. heim/CA, pp 237–241

    Google Scholar 

  17. Duplay S (1872) De la périarthrite scapulo-humérale et 40. de raindeurs de l’épaule qui en sont la conséquence. Arch Gén Med II: 513–542

    Google Scholar 

  18. Duronea (1873) Essai sur la scapulalgie.

    Google Scholar 

  19. Ellman H, Hauker G, Bayer M (1988) Repair of the rotator cuff. End-result study of factor influencing reconstruction. J Bone Joint Surg Am 68: 1138–1144

    Google Scholar 

  20. Ellman H (1987) Arthroscopic subacromial decompression. Analysis of one to three year results. J Arthros Relat Surg 3: 173–181

    Article  CAS  Google Scholar 

  21. Ellman H, Kay SP (1991) Arthroscopic subacromial de- 43. compression for chronic impingement. J Bone Joint Surg Br 73: 395–398

    PubMed  CAS  Google Scholar 

  22. Ellman H, Kay SP (1989) Arthroscopic subacromial decompression: new techniques and results. American 44. Academy of Orthopedic Surgeons, 56th Annual Meeting, Las Vegas, 1989

    Google Scholar 

  23. Ellman H (1985) Arthroscopic subacromial decom- 45. pression. A preliminary report. Orthop Trans 9: 49

    Google Scholar 

  24. Fischer BW, Gross RM, McCarthy JA, Arroyo JS (1999) Incidence of acromioclavicular Joint complications af- 46. ter arthroscopic subacromial Decompression. J Arthroscopic Related Surg 15 /3: 241–248

    Article  CAS  Google Scholar 

  25. Flatow EL, Rodoski MW, Yamaguchi K et al. (1996) 47. Coracoacromial preservation in rotatory cuff surgery. J Shoulder Elbow Surg 5: 242

    Google Scholar 

  26. Fu FH, Harner CD, Klein AH (1991) Shoulder impingement syndrome. A critical review. Clin Orthop 269: 48. 162–173

    PubMed  Google Scholar 

  27. Gartsman GM (1990) Arthroscopic acromioplasty for 49. lesions of the rotator cuff. J Bone Joint Surg Am 72: 169–180

    PubMed  CAS  Google Scholar 

  28. Gartsman GM, Blair MJ, Noble PC, Benett JB, Tullos HS (1988) Arthroscopic subacromial decompression. An anatomical study. Am J Sports Med 16: 48–50

    Google Scholar 

  29. Gerber CH, Terrier T, Ganz R (1985) The role of the coracoid process in the chronic impingement syndrome. J Bone Joint Surg Br 67: 703–708

    PubMed  CAS  Google Scholar 

  30. Glousman RE (1993) Instability versus impingement syndrome in the trowing athlete. Orthop Clin North Am 24: 89–99

    PubMed  CAS  Google Scholar 

  31. Gohlke F, Janssen E, Leidel J, Heppelmann B, Eulert J (1989) Histomorphologische Befunde zur Propriozeption am Schultergelenk. Orthopäde 8 /98: 510–516

    Google Scholar 

  32. Gohlke F, Müller T, Janssen E et al. (1996) Distribution and morphology of mechanoreceptors in the shoulder joint. J Shoulder Elbow Surg 5: 104

    Article  Google Scholar 

  33. Golding FC (1962) The shoulder: the forgotten joint. Br J Radiol 35: 149–154

    Article  PubMed  CAS  Google Scholar 

  34. Grant JCB (1940) The upper limb. In: A method of anatomy, 2nd edn. Willliams & Wilkins, Baltimore, pp 72–76

    Google Scholar 

  35. Ha’eri GB, Orth MC, Wiley AM (1982) Shoulder impingement syndrome. Clin Orthop 168: 128–132

    PubMed  Google Scholar 

  36. Hamada K, Fukuda H, Mikasa M, Kobayashi Y (1990) Roentgenographic findings in massive rotator cuff tears: a long term observation. Clin Orthop 254: 92–96

    PubMed  Google Scholar 

  37. Hammond G (1962) Complete acromionectomy in the treatment of chronic tendinitis of the shoulder. J Bone Joint Surg Am 44: 494–504

    PubMed  Google Scholar 

  38. Hawkins RJ, Brock RM, Abrams JS, Hobeika P (1988) Acromioplasty for impingement with an intact rotator cuff. J Bone Joint Surg Br 70: 795–797

    PubMed  CAS  Google Scholar 

  39. Hawkins RJ, Kennedy JC (1980) Impingement syndrome in athletes. Am J Sports Med 8: 151–158

    Article  PubMed  CAS  Google Scholar 

  40. Hutchinson MR, Veenstra MA (1993) Arthroscopic decompression of shoulder impingement secondary to os acromiale. Arthroscopy 9: 28–32

    Article  PubMed  CAS  Google Scholar 

  41. Ide K, Shirai Y, Ito H (1996) Sensory nerve supply in the human subacromial bursa. J Shoulder Elbow Surg 5: 371–382

    Article  PubMed  CAS  Google Scholar 

  42. Jarjavay JF (1867) Sur la luxation du tendon de la longue portion du muscle biceps humeral; sur la luxation des tendons des muscle peroniers latéraux. G Hebdom Méd Chir 21: 325

    Google Scholar 

  43. Jerosch J, Castro WHM, Sons HU, Moersler M (1989) Zur Ätiologie des subacromialen Impingement-Syndroms: Eine biomechanische Untersuchung. Beitr Orthop Traumatol 36: 411–418

    Google Scholar 

  44. Jerosch J, Castro WHM, Zauder F (1993) Intramuskulärer Druck des M. supraspinatus in Abhängigkeit von der Gelenkstellung. Orthop Prax 29: 100–104

    Google Scholar 

  45. Jerosch J (1990) Einfluß der Gelenkmobilität auf die Ergebnisse der transarthroskopischen subacromialen Dekompression. Arthroskopie 3: 146–152

    Google Scholar 

  46. Jerosch J, Steinbeck J, Strauss JM, Schneider T (1994) Arthroskopische subacromiale Dekompression–Indikation beim Os acromiale? Unfallchirurg 97: 69–73

    PubMed  CAS  Google Scholar 

  47. Jobe FW, Kvitne RS, Giangarra CE (1989) Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement. Orthop Rev 18: 963–975

    Google Scholar 

  48. Jobe FW (1989) Impingement problems in the athlete. Instr Course Lect 38: 205–209

    PubMed  CAS  Google Scholar 

  49. Jobe FW, Kvitne RS (1989) Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement. Orthop Rev 18: 963–975

    Google Scholar 

  50. Kessel L, Watson M (1977) The painful arc syndrome. Clinical classification as a guide to management. J Bone Joint Surg Br 59: 166–172

    Google Scholar 

  51. Klein W, Dann P, Hillen R, Jensen KU (1991) Die endoskopische subacromiale Dekompression. Arthroskopie 4: 89–97

    Google Scholar 

  52. Koydl P (1983) Druckkräfte im Schulterdach bei Abduktion des Armes–eine experimentelle Studie. Z Orthop 121: 389–390

    Google Scholar 

  53. Lieberson E (1937) Os acromiale–a contested anomaly. J Bone Joint Surg Am 19: 683–689

    Google Scholar 

  54. McLaughlin HL (1944) Lesions of the musculotendineous cuff of the shoulder. The exposure and treatment of tears with retraction. J Bone Joint Surg 26: 31–51

    Google Scholar 

  55. Morisawa A, Sadahiro T, Yamamoto H (1992) Mechanoreceptors in the coracoacromial ligament - a study of ist morphology and distribution. Acta Orthop Scand 63 [Suppl2471: 22

    Google Scholar 

  56. Morisawa A, Sadahiro T, Kawakami T, Yamamoto H (1996) A study on the mechanoreceptors in the rotator cuff, the subacromial bursa and the coracoacromial ligament - morphology and distribution. J Shoulder Elbow Surg 5: 54

    Article  Google Scholar 

  57. Mudge MK, Wood VE, Feykman OK (1984) Rotator cuff tears associated with os acromiale J Bone Joint Surg Am 66: 427–429

    CAS  Google Scholar 

  58. Neer CS (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder. A preliminary report. J Bone Joint Surg Am 54: 41–50

    PubMed  Google Scholar 

  59. Neer CS, Bigliani LU, Hawkins RJ (1977) Ruptures of the long head of the biceps related to subacromial impingement.Orthop Trans 1: 111–116

    Google Scholar 

  60. NEER CS (1990) Shouldereconstruction. Saunders, Philadelphia, p 97

    Google Scholar 

  61. Neer CS (1983) Impingement lesions. Clin Orthop 173: 70–77

    PubMed  Google Scholar 

  62. Neviaser RJ, Neviaser TJ (1990) Observation on impingement. Clin Orthop 254: 60–63

    PubMed  Google Scholar 

  63. Nirschl RP (1989) Rotator cuff tendinitis: basic concepts of pathoetiology. Instr Course Lect 38: 439–445

    PubMed  CAS  Google Scholar 

  64. Ogon P, Habermeyer P (1994) Behandlungskonzept bei Rotatorenmanschettenrupturen. In: Jürgens C, Hertel P, Wolter D (Hrsg): Arthroskopische Chirurgie im Schulter-und Kniegelenkbereich. Springer, Berlin Heidelberg New York Tokyo, S 68–75

    Chapter  Google Scholar 

  65. Painter CF (1907) Subdeltoid bursitis. Boston Med Surg J 156: 345–349

    Article  Google Scholar 

  66. Patte D (1990) The subcoracoid impingement. Clin Orthop 254: 55–59

    PubMed  Google Scholar 

  67. Pedersen HE, Key JA (1951) Pathology of calcareous tendinitis and subdeltoid bursitis. Arch Surg 62: 50–63

    Article  CAS  Google Scholar 

  68. Petersson CJ, Gentz CF (1983) Ruptures of the supraspinatus tendon. The significance of distally pointing acromioclavicular osteophytes. Clin Orthop 174: 143–148

    Google Scholar 

  69. Petersson CJ, Redlund-Johnell I (1984) The subacromial space in normal shoulder radiographs. Acta Orthop Scand 55: 57–62

    Article  PubMed  CAS  Google Scholar 

  70. Pingaud, Charvot (1879) Scapulalgie. In: Dechambre (ed) Dictionnaire encyclopédique des sciences médicales, vol II. Paris, p 232

    Google Scholar 

  71. Post M, Cohen J (1986) Impingement syndrome. Clin Orthop 207: 126–132

    PubMed  Google Scholar 

  72. Post M, Cohen J (1985) Impingement syndrome: a review of late stage II and early stage III lesions. Orthop Trans 9: 48–50

    Google Scholar 

  73. Pujadas GM (1964) Coraco-acromial ligament syndrome. J Bone Joint Surg Am 52: 1261–1262

    Google Scholar 

  74. Raggio CC, Warren RF, Sculco T (1985) Surgical treatment of impingement syndrome: 4 year follow up. Orthop Trans 9: 48–49

    Google Scholar 

  75. Rathburn JB, Macnab I (1970) The microvascular pattern of the rotator cuff. J Bone Joint Surg Br 52: 540–553

    Google Scholar 

  76. Refior HJ, Tempka A, Stauch E (1984) Autoptische Untersuchungen zur Makro-und Mikromorphologie der Rotatorenmanschette. In: Reichelt A (Hrsg) Periartikuläre Schultererkrankungen. (Buchreihe für Orthopädie und orthopädische Grenzgebiete, Bd8, S 26–28 )

    Google Scholar 

  77. Reichelt A (1985) Die Rotatorenmanschettenruptur. Operative Ergebnisse in Abhängigkeit vom Zugang. Z Orthop 123: 38–43

    Article  PubMed  CAS  Google Scholar 

  78. Reichelt A (1993) Sogenannte Periarthritis humeroscapularis im engeren Sinne. In: Reichelt A (Hrsg) Orthopädie. Enke, Stuttgart, S 267–271

    Google Scholar 

  79. Rockwood JR CA, Lyons FR (1993) Shoulder impingement syndrome: diagnosis, radiographic evaluation, and treatment with a modified Neer acromioplasty. J Bone Joint Surg Am 75: 409–424

    PubMed  CAS  Google Scholar 

  80. Skruodies B, Kölbel R (1987) Operative Dekompression am Fornix humeri. Vergleich zweier Verfahren: Ligamentresektion und vordere Akromioplastik nach Neer. Z Orthop 125: 644–647

    Google Scholar 

  81. Smith-Petersen MN, Aufranc 0E, Larson CB (1943) Useful surgical procedures for rheumatoid arthritis involving joints of upper extremity. Arch Surg 46: 764–770

    Google Scholar 

  82. Stieda A (1908) Zur Pathologie der Schultergelenkschleimbeutel. Arch Klein Chir 85: 910–924

    Google Scholar 

  83. Tib one JE, Jobe FW, Kerlan RK, Carter VS (1985) Shoulder impingement syndrome in athletes treated by an anterior acromioplasty. Clin Orthop 198: 134–140

    PubMed  Google Scholar 

  84. Tillmann B, Tichy P (1986) Funktionelle Anatomie der Schulter. Unfallchirurg 89: 389–397

    PubMed  CAS  Google Scholar 

  85. Uhthoff HK, Hammond DI, Sarker K, Hooper GJ, Papoff WF (1988) The role of the coracoacromial ligament in the impingement syndrome: a clinical, radiological and histological study. Int Orthop 12: 97–104

    Article  PubMed  CAS  Google Scholar 

  86. Walch G, Boileau P, Noel E, Donell ST (1992) Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: an arthroscopic study. J Shoulder Elbow Surg 1: 238–245

    Article  PubMed  CAS  Google Scholar 

  87. Watson-Jones R (1960) Fractures and joint injures, 4th edn. Williams & Wilkins, Baltimore, pp 449–451

    Google Scholar 

  88. Weiner DS, Macnab I (1970) Superior migration of the humeral head: a radiological aid in the diagnosis of tears of the rotator cuff. J Bone Joint Surg Br 52: 524–529

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. P. Ogon
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Ogon
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Otto-von-Guericke-Universität Magdeburg Orthopädische Universitätsklinik, Leipziger Straße 44, 39120, Magdeburg, Deutschland

    Wolfgang Nebelung

  2. Chirurgische Klinik und Poliklinik, Klinikum der LMU München, Nussbaumstr. 20, 80336, München, Deutschland

    Ernst Wiedemann

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Ogon, P., Ogon, M. (2002). Ätiologie und Klassifikation des Impingement-Syndroms. In: Nebelung, W., Wiedemann, E. (eds) Schulterarthroskopie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09820-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-09820-2_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-09821-9

  • Online ISBN: 978-3-662-09820-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation