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Shoulder external impingement should be recognized as a clinical entity that is separate from internal impingement. The most basic clinical differentiation between the former and the latter is defined by the rotator cuff as the anatomic boundary of the external and internal forms.

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The rotator cuff is a common source of pain in the shoulder. Pain can be the result of: Tendinitis. The rotator cuff tendons can be irritated or damaged. Bursitis. The bursa can become inflamed and swell with more fluid causing pain. Impingement. When you raise your arm to shoulder height, the space between the acromion and rotator cuff narrows.
Jan 02, 2018 · In rare, advanced cases of shoulder impingement, your rotator cuff can tear. If this happens, you’ll likely need surgery to repair the tear. Following any type of shoulder surgery, you may need ...
The shoulder is a complex of joints that includes the glenohumeral joint (ball-in-socket), the scapulothoracic joint (wing bone moving on the thorax or chest), the acromioclavicular joint (collar bone attachment to the acromion of the scapula) and the sternoclavicular joint (collar bone attachment to the breast bone).The rotator cuff consists of four muscles that connect from the scapula to ...
Reaching overhead or use of the arm in certain directions makes the pain worse. Shoulder popping or snapping in the shoulder may be felt with movement. As the shoulder impingement syndrome progresses the rotator cuff muscles weaken and may subsequently tear. This is one of the ways you can tear the rotator cuff muscles.
The muscles that help hold the upper arm in the shoulder joint (the rotator cuff muscles) can get pinched (shoulder impingement syndrome), become inflamed (tendinitis), or can tear partially or completely. (See also Overview of Sports Injuries .) The shoulder is painful when the arm is moved over the head and later, even when the arm is not moved.