Rotator cliff impingement syndrome and associated rotator cuff tears a
re commonly encountered shoulder problems. Symptoms include pain, weak
ness and loss of motion. Causes of impingement include acromioclavicul
ar joint arthritis, calcified coracoacromial ligament, structural abno
rmalities of the acromion and weakness of the rotator cuff muscles. Co
nservative treatment (rest, ice packs, nonsteroidal anti-inflammatory
drugs and physical therapy) is usually sufficient. Some patients benef
it from steroid injection, and a few require surgery.