Evidence map›Paper›PMID 41181758›Full record

ReviewCureus2025

Traumatic Versus Atraumatic Causes of Shoulder Impingement Syndrome: A Systematic Review of Pathophysiology and Outcomes.

Muhammad Irfan Akram, Kunjan Yogesh Barot, Rao Junaid Saleem, Abdullah Elrefae, Hassan Imtiaz, Kshitij Srivastava, Mohammad Shishtawi, Safeer Ahmad Javid, Muhammad Rizwan Umer, Shahzaib Ahmad

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Muhammad Irfan AkramTrauma and Orthopedics, Ipswich Hospital, Ispwich, GBR.
Kunjan Yogesh BarotTrauma and Orthopedics, Poole General Hospital, Poole, GBR.
Rao Junaid SaleemGeneral and Colorectal Surgery, Northwick Park Hospital, London, GBR.
Abdullah ElrefaeTrauma and Orthopedics, AlBashir Hospital, Amman, JOR.
Hassan ImtiazTrauma and Orthopedics, University Hospitals Dorset NHS Foundation Trust, Poole, GBR.
Kshitij SrivastavaTrauma and Orthopedics, Northwick Park Hospital, London, GBR.
Mohammad ShishtawiGeneral Surgery, Princess of Wales Hospital-Cwm Taf Morgannwg University Health Board, Bridgend, GBR.
Safeer Ahmad JavidTrauma, Royal Sussex County Hospital, Brighton and Hove, GBR.
Muhammad Rizwan UmerTrauma and Orthopedics, Royal Sussex County Hospital, Brighton and Hove, GBR.
Shahzaib AhmadGeneral Surgery, Civil Hospital Karachi, Karachi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shoulder impingement syndrome (SIS) is a common musculoskeletal disorder caused by traumatic or atraumatic factors, resulting in pain, functional limitation, and reduced quality of life. This systematic review aimed to summarize the pathophysiology, anatomical changes, and functional outcomes of traumatic versus atraumatic SIS. A comprehensive search of PubMed, Embase, Scopus, and the Cochrane Library up to 2025 was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, including studies reporting clinical outcomes and pathophysiological findings in humans. Five studies comprising 467 participants were included. Traumatic SIS, often following acute injuries or post-acromioclavicular (AC) joint fixation, was associated with rotator cuff tears, labral lesions, and anatomical changes, leading to pain, limited range of motion, and delayed recovery. Atraumatic SIS, common in overhead athletes, resulted from repetitive microtrauma, causing tendon degeneration, subacromial narrowing, and deficits in strength, motion, and dynamic balance. Both etiologies shared rotator cuff and bursal inflammation. Traumatic SIS frequently requires surgical intervention, whereas atraumatic SIS is managed conservatively with structured rehabilitation. Differentiating etiologies is essential to optimize outcomes, prevent recurrence, and guide treatment strategies, and further long-term studies are warranted to evaluate functional recovery and intervention effectiveness.

Indexed as

atraumaticoutcomespathophysiologyshoulder impingement syndromesystematic reviewtraumatic

Identifiers

PMID41181758
PMCPMC12576501

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.