Impingement Classification

Copeland-Levy Classification

Ofer Levy, G. Sforza, Ron M. Dodenhoff, Stephen A. Copeland, Arthroscopic Evaluation of the Impingement Lesion: Pathoanatomy & Classification. JBJS (B) Supp. III,n pg. 233, 2000.

Acromial Side

 Normal - smooth surface  
Minor scuffing, haemorrhage or local injection and inflammation
Marked scuffing / damage of the undersurface of the acromion & CA ligament
Bare bone areas

Bursal Side

 Normal - smooth surface
Minor scuffing, haemorrhage or local injection and inflammation
Major scuffing of cuff, partial thickness tear
Full thickness tear
Massive cuff tear

 

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