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Impingement Syndrome

Related Terms

Internal Impingement
Rotator Cuff Impingement Syndrome
Subacromial Impingement Syndrome
Subcoracoid Impingement

Differential Diagnoses

Acromioclavicular osteoarthritis
Acromioclavicular separation or injury
Adhesive capsulitis
Biceps tendinitis
Biceps tendon rupture
Brachial plexus injury
Bursitis
Cervical disc disorders
Cervical spine sprain and strain injuries
Clavicle trauma
Myofascial pain
Rheumatoid arthritis
Rotator cuff tear
Rotator cuff tendinitis
Septic arthritis
Shoulder arthritis
Shoulder contusion
Shoulder dislocation
Thoracic disc injury
Thoracic discogenic pain syndrome

Specialists

Occupational Therapist
Orthopedic (Orthopaedic) Surgeon
Physiatrist
Physical Therapist
Rheumatologist

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Duration depends on job requirements and whether the dominant or nondominant arm is involved. Duration and disability also depend heavily on whether the contralateral shoulder has similar problems. Disability may be longer for individuals who perform repetitive actions and/or overhead work as part of their work duties. The individual's age, occupation, response to treatment, and compliance with treatment recommendations and rehabilitation programs will influence the duration of disability. Osteoarthritis in the glenohumeral joint is uncommon but, if present, will significantly delay return to heavy work or shoulder-intensive work.

Duration Trends from Reference Data

DURATION TRENDS

ICD-9-CM: 726.2

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
3621	66	0	297	0.2%	3.8%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	12	30	54	89	172

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

	ICD-9-CM:
	726 -	Peripheral Enthesopathies and Allied Syndromes
	726.2 -	Other Affections of Shoulder Region, Not Elsewhere Classified; Periarthritis of Shoulder; Scapulohumeral Fibrositis
	840 -	Sprains and Strains of Shoulder and Upper Arm
	840.9 -	Sprains and Strains of Shoulder and Upper Arm, Unspecified Site of Shoulder and Upper Arm; Arm NOS; Shoulder NOS

Hospital Costs

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