Impingement syndrome of the shoulder joint

Causes
The acromion space may be or become narrowed as a result of a congenital hook-shaped acromion, degenerative changes, or shoulder injuries.

Symptoms
The impingement syndrome may cause pain when the arm is raised laterally between 90 and 120 degrees (painful arch), or when turned inwards. This condition makes working overhead almost impossible.

Possible therapies
Treatment is aimed to restore sufficient space for the tendon plate and the bursal sac under the acromion which allows for smooth gliding of the rotator cuff. Dr Braune uses minimally invasive arthroscopic surgery in order to expand the subacromial space (arthroscopic subacromial decompression).