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With regards to subacromial impingement the pathology involves a rotator cuff dysfunction resulting in a mechanical impingement and compression of the subacromial bursa between the rotator cuff and the acromion and coracocromial ligament

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It is largely initiated by extra-mitochondrial lipid peroxidation occurring from an iron-dependent ROS accumulation, caused by abnormal iron metabolism or disturbances in the main redox systems, lipid peroxidation, and thiols, in particular GSH [30]

J Mol Struct 1269:133843 Jha N, Sivagnanavelmurugan M, Prasad P, Lakra AK, Ayyanna R, Domdi L, Arul V (2021) Physicochemical properties, preliminary characterization, and assessment of potential bioactivities of polysaccharide purified from the leaves of Avicennia marina