The Shoulder

Help - Treatment

Treatment leads to good but temporary results

Check if there is an anatomical divergence that causes recurrent impingement and recurrent tendinitis

Degenerative osteophytes at the caudal part of the acromio-clavicular joint
Deformations of the acromion or abnormal thickening of the coraco-acromial ligament
Deformations at the level of the major tubercle of the humerus
Abnormal form or degenerative deformation of the acromion

A lateral X-ray shows the so-called 'supraspinatus outlet view' - the space between roof and head of the humerus.

Three shapes of acromion are recognized on the supraspinatus outlet view: flat (left), smoothly curved (middle) and with an anterior hook (right) The anterior hook is commonly observed in patients with recurrent impingement and tendinitis.

If there is an anatomical divergence in the supraspinatus outlet, Surgical decompression (deletion of anterior and inferior part of the roof) will be highly recommended.