This chapter is intended to provide a basic understanding of the evaluation and treatment process for common shoulder complaints. X-ray demonstrates DJD or osteolysis. Pain with forward elevation.
Pain radiates to deltoid and biceps and pain at night.
Lidocaine injected into the subacromial bursa will relieve symptoms. If no improvement in 12 months, consider subacromial decompression. Most often patients are greater than 40 years old. A tear results from chronic attrition against the under surface of the acromion. Occasionally acute traumatic tears will present with pain similar to impingement.