Casuistry of the Impigement Syndrome by Posttraumatic Hyperostosis

As an example of  an atypical impigement syndrome we can introduce a patient with a trauma of the rotator cuff. About a half of the year after the injury pains of the shoulder and a gradual aggravation of motility occurred.

picture and scheme of the impigement syndrome by hyperostosis

videosequence of the impigement syndrome by hyperostosis

Commentary

The origin of the impigement syndrome  by osteophyte of the head of the humerus, not by the upper part of the suprahumeral articulation (acromion, ligamentum coracoacromialis), is atypical. A diagnosis was gained during a dynamic examination of the patient when the ultrasound examination localized the pain during the  abduction of the shoulder into the area where this osteophyte was present.