Causes of Impingement Syndrome

introduction

The English translation for collision is behind the term impingement.
This is exactly what happens with the impingement syndrome: Due to a lack of space in the joint, two bones (in principle possible at any point in the body, but typically the shoulder joint is used in the case of the impingement syndrome) permanently, which on the one hand makes it a restricted one Mobility and, on the other hand, severe pain. So anything that restricts space within the joint can ultimately lead to impingement syndrome.

How does impingement syndrome arise?

Most often the impingement syndrome is caused by degenerative changes (signs of wear and tear) or an entrapment of the joint capsule or the tendons involved in the joint, or permanent overloading of the joint.
Impingement syndrome is often found in athletes in particular. This is because if the shoulder is overloaded (as can be the case with sports such as swimming or throwing), the tendon of the supraspinatus muscle thickens. This tendon runs through the shoulder joint and, due to its volume increase, reduces the interior space of the joint, so that bone structures, muscles or bursa are constricted and rub against each other. Osteoarthritis (a chronic degenerative disease) can lead to bony attachments, which also limit the space in the joint. At the same time, there are regularly circulatory disorders, which encourage the development of an inflammatory reaction and the pain that follows.

Further triggers for an impingement syndrome can be fractures of the humerus, after which the bones or parts of bones lead to the constriction of certain structures. Chronic inflammatory processes can also cause the typical symptoms. For reasons that cannot be explained, many people develop calcium deposits in the joints or the tendons themselves over time, especially on the Schutler. These calcium deposits can also be the cause of an impingement syndrome.

It is also not uncommon for a combination of the various risk factors to be present until a symptomatic impingement syndrome ultimately develops.

Appointment with a shoulder specialist

I would be happy to advise you!

Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .

The shoulder joint is one of the most complicated joints in the human body.

The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

• Lumedis - your orthopedic surgeon
  Kaiserstrasse 14
  60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
You can find more information about myself at Carmen Heinz.

Figure impingement syndrome

Impingement syndrome (shoulder)
(Narrowing, crushing of the tendons)

1. Collarbone - Clavicle
2. Upper bone muscle -
   Supraspinatus muscle
3. Raven beak collarbone ligament -
   Coracoclavicular ligament
4. Shoulder and collarbone
   steer -
   Articulatio acromioclavicularis
5. Raven beak shoulder band -
   Coracoacromiale ligament
6. Shoulder corner - Acromion
7. Bursa -
   Subacromial bursa
8. Supraspinatus tendon
   (Upper bone tendon)
9. Tendon of the long biceps head
10. Upper arm shaft - Corpus humeri
11. Two-headed upper arm muscle (biceps),
    long head -
    Biceps brachii muscle, caput longum
12. Humerus head -
    Caput humeri
13. Raven beak process -
    Coracoid process
14. Shoulder blade - Scapula

You can find an overview of all Dr-Gumpert images at: medical illustrations