Abstract
Shoulder impingement syndrome is the most common condition causing shoulder pain, occurring in 44–65% of patients who complain of shoulder pain. Subacromial bursitis, rotator cuff tendinopathy, biceps tendinopathy, calcific tendinosis, and rotator cuff tears are specific problems that may be seen in patients with this syndrome. Other painful shoulder conditions, such as adhesive capsulitis and osteoarthritis, are commonly confused with impingement. Adequate history and examination help distinguish these entities, yet in some cases imaging studies are required. Simple analgesics and physical therapy are very effective for managing this condition. Injections or surgical care should be considered when patients have tried and failed conservative management.
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