• Achilles tendon

The road has been long but definite progress has been made. I first became aware of the importance of the scapula in shoulder injury in 1984. A young patient with impingement syndrome not responsive to the ‘usual’ treatments was almost immediately relieved of her symptoms when I recognised the altered scapular position and manually stabilised the scapula. We started looking more closely at the scapula and developed a tentative evaluation method. Our first paper was delivered at the 1989 American Orthopaedic Society for Sports Medicine meeting, and the discussion centred on “Does this exist, and does this play any role in shoulder?”

Subsequent investigations and collaborative conferences involving multiple authors showed that scapular dyskinesis does exist, established a clinical definition of scapular dyskinesis and described normal scapular mechanics in shoulder …