What question did this study set out to answer?

To review the historical evolution, mechanistic rationale, and current clinical validity of diagnostic terminology for non-traumatic subacromial shoulder pain.

November 2, 2016British Journal of Sports Medicine

Shoulder pain: can one label satisfy everyone and everything?

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Authors

ACAnn CoolsGhent University Hospital LMLori A. MichenerUniversity of Southern California

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Implication

Clinical review evaluates diagnostic terminology for non-traumatic shoulder pain, suggesting that subacromial impingement represents a symptom cluster rather than a pathoanatomic diagnosis.

Key Points

To review the historical evolution, mechanistic rationale, and current clinical validity of diagnostic terminology for non-traumatic subacromial shoulder pain.
Historical synthesis of the subacromial impingement syndrome framework introduced by Neer in 1972.
Evaluation of literature regarding structural impingement mechanisms, diagnostic labels, and clinical management strategies.
Subacromial impingement syndrome historically served as the primary rationale guiding orthopedic examinations, surgical decompressions, and physical rehabilitation protocols.
Recent biomechanical and clinical evidence indicates that mechanical compression within the subacromial space does not fully account for rotator cuff pathology or pain presentation.
Diagnostic terminology is shifting from a definitive pathoanatomic diagnosis toward symptom-based descriptors such as impingement-related shoulder pain.

Cite This Study

Cools et al. (2016) studied this question.

synapsesocial.com/papers/6a9561a8defd3e275b25e99b https://doi.org/10.1136/bjsports-2016-096772

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Implication

Clinical review evaluates diagnostic terminology for non-traumatic shoulder pain, suggesting that subacromial impingement represents a symptom cluster rather than a pathoanatomic diagnosis.

Shoulder pain: can one label satisfy everyone and everything?

Discussion

Member takes

Implication

Key Points

Cite This Study

Shoulder pain: can one label satisfy everyone and everything?

Discussion

Member takes

Implication

Key Points

Cite This Study

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