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The soft tissue attachments to the coracoid (lateral coracoacromial ligament stump and medial pectoralis minor tendon) need to be adequately elevated off the coracoid to visualize the bony margins and appropriately center the drill guide.
16) This syndrome is the result of chronic irritation of the supraspinatus tendon against the undersurface of the anterior one-third of the acromion, the coracoacromial ligament and the acromioclavicular joint.
Impingement syndrome of the shoulder is defined as the encroachment of the acromion, coracoacromial ligament, coracoid process and/or acromioclavicular joint on the rotator cuff mechanism that passes beneath them when the glenohumeral joint is moved, particularly during flexion and rotation.