Browse > Article
http://dx.doi.org/10.5397/CiSE.2010.13.2.280

Treatment of Painful Rotator Interval Widening After Subcoracoid Decompression in Elite Archer - Case Report -  

Park, Jin-Young (Department of Orthopedic Surgery, Konkuk University Hospital)
Lee, Seung-Jun (Department of Orthopedic Surgery, Konkuk University Hospital)
Publication Information
Clinics in Shoulder and Elbow / v.13, no.2, 2010 , pp. 280-285 More about this Journal
Abstract
Purpose: Coracoid impingement syndrome refers to subscapularis impingement between the coracoid process and lesser tuberosity of the humerus, and pain may occur when the arm is positioned in forward flexion, internal rotation and adduction. This position is common for archers. Material and methods: A female archer with coracoid impingement syndrome that was uncontrolled by conservative therapy underwent arthroscopic subcoracoid decompression. At the 20th postoperative month of follow up, she complained of painful rotator interval widening and so she underwent arthroscopic rotator interval plication. Results: At the postoperative 6th month of follow up after the second operation, she showed no pain and good functional results, and she returned to competing as an archer. Conclusion: We have reported here on a case of successful treatment of painful rotator widening after subcoracoid decompression in an elite archer.
Keywords
Shoulder; Coracoids process; Rotator interval; Coracoid impingement syndrome; Subcoracoid decompression; Rotator interval plication;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Field LD, Warren RF, O’Brien SJ, Altchek DW, Wickiewicz TL: Isolated closure of rotator interval defects for shoulder instability. Am J Sports Med, 23: 557-563,1995.   DOI   ScienceOn
2 Friedman RJ, Bonutti PM, Genez B: Cine magnetic resonance imaging of the subcoracoid region. Orthopaedics, 21: 545-548, 1998.
3 Habermeyer P, Magosch P, Pritsch M, Scheibel MT, Lichtenberg S: Anterosuperior impingement of the shoulder as a result of pulley lesions: a prospective arthroscopic study. J Shoulder Elbow Surg, 13: 5-12, 2004.   DOI   ScienceOn
4 Harryman DT 2nd, Sidles JA, Harris SL, Matsen FA 3rd.: The role of the rotator interval capsule in passive motion and stability of the shoulder. J Bone Joint Surg Am, 74: 53-66, 1992.
5 Oh JH, Park JY: Rotator interval lesion: Instability & Stiffness. J Korean Shoulder Elbow Soc, 8: 5-8, 2005.   과학기술학회마을   DOI   ScienceOn
6 Okoro T, Reddy VR, Pimpelnarkar A: Coracoid impingement syndrome: a literature review. Curr Rev Musculoskelet Med, 2: 51-55, 2009.   DOI   ScienceOn
7 Renoux S, Manet J, Pupin P, et al.: Preliminary note on biometric data relating to the human coracoacromial arch. Surg Radiol Anat, 8: 189-195,1986.   DOI
8 Savoie FH 3rd, Holt MS, Field LD, Ramsey JR: Arthroscopic management of posterior instability: evolution of technique and results. Arthroscopy, 24: 389-396, 2008.   DOI   ScienceOn
9 Steinbach LS: MRI of shoulder instability.Eur J Radiol, 68: 57-71, 2008.   DOI   ScienceOn
10 Bennett WF: Subscapularis, medial, and lateral head coracohumeral ligament insertion anatomy: arthroscopic appearance and incidence of “hidden” rotator interval lesions. Arthroscopy, 17: 173-180, 2001.   DOI   ScienceOn