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Although the cause of RSP is multifactorial, two major contributors to RSP are the tightness of the pectoralis minor muscle and the weakening of lower trapezius muscle. [34] As the only scapulothoracic muscle anteriorly originating and inserting to the scapula , the pectoralis minor ’s function in favoring the internal and downward rotation ...
The acromion is a bony process at the end of the scapula. The shoulder is a complex mechanism involving bones, ligaments, joints, muscles, and tendons. The two main causes are acute injury or chronic and cumulative degeneration of the shoulder joint. Mechanisms can be extrinsic, intrinsic or a combination of both. [27]
Such causes can be bony structures such as subacromial spurs (bony projections from the acromion), osteoarthritic spurs on the acromioclavicular joint, and variations in the shape of the acromion. Thickening or calcification of the coracoacromial ligament can also cause impingement. Loss of function of the rotator cuff muscles, due to injury or ...
In this highly specialized endoskeletal structure, the scapula is a dorsal (directed upwards) process attached to the first rib; the coracoid is a posteroventral (directed backward and down) process; and the acromion is a medioventral (directed inwards and down) process (also known as the prescapular process) located at the base of the scapula.
A common cause of shoulder pain in rotator cuff impingement syndrome is tendinosis, which is an age-related and most often self-limiting condition. [ 14 ] Studies show that there is moderate evidence that hypothermia (cold therapy) and exercise therapy used together are more effective than simply waiting for surgery and they suggest the best ...
Treatment of a separated shoulder depends on the severity of the injury. When beginning treatment, the first steps should be to control inflammation, and to rest and ice the joint. Anti-inflammatories such as ibuprofen may also relieve pain and inflammation. The joint should be iced every four hours for fifteen minutes at a time.
Acromioplasty is an arthroscopic surgical procedure involving the acromion, a bony process of the shoulder blade.. Generally, it implies removal of a small piece of the surface of the acromion that is in contact with a tendon of the rotator cuff causing, by friction, damage to the tendon.
The acromioclavicular ligament, which attaches the clavicle to the acromion of the scapula. Superior acromioclavicular ligament. This ligament is a quadrilateral band, covering the superior part of the articulation, and extending between the upper part of the lateral end of the clavicle and the adjoining part of the upper surface of the acromion.