Internal Impingement of the shoulder- Everything You Need To Know - Dr. Nabil Eb

Dr. Ebraheim’s animated educational video describing internal impingement of the shoulder. Internal impingement is a pathology on the undersurface of the rotator cuff (joint side). Internal impingement is a PASTA lesion plus a SLAP tear. PASTA lesion (Partial Articular surface Supraspinatus Tendon Avulsion. SLAP tear is a tear at the top of the glenoid labrum Subacromial impingement is a pathology underneath the acromion (bursal side). Internal impingement may involve: •Scarring and tightness of the posterior capsule. oPatient will have diffuse pain on the posterior aspect of the shoulder. oCan lead to a glenohumeral internal rotation deficit (GIRD) Internal impingement is mainly seen in overhead throwing athletes. A thrower with shoulder pain should be evaluated for internal impingement. Internal impingement usually occurs during the late cocking and early acceleration phase of throwing.