Korean J Sports Med.  2017 Sep;35(2):91-96. 10.5763/kjsm.2017.35.2.91.

Impingement Syndrome and Labral Tear in Athletes: Differences in Diagnosis and Management with General Population

  • 1Department of Orthopaedic Surgery, Samsung Medical Center, Seoul, Korea. shoulderyoo@gmail.com


The pathophysiology of impingement syndrome and labral tear was variable and not clear. In general populations, lesions occur mainly in acute cases. But in athletes, lesions are caused by repetitive exposure to excessive force, resulting in different patterns. For diagnosis, thorough physical examinations and radiologic findings should be combined. In athletes, conservative treatment including posterior capsular stretching and periscapular muscle strengthening is recommended as the first choice of treatment considering chronic progression and adaptive change. When choosing surgical treatment because of failure of conservative treatment, careful attention should be paid to the choice of repair or debridement of the rotator cuff partial tear, and the choice of the labral repair or biceps tenodesis.


Shoulder impingement syndrome; Shoulder injuries; Athletes
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