Rotator Cuff Tendonitis
Abby Johnson
Mr. Mejewski
Anatomy and Physiology
Hour 4
What does a gardener, an athlete and a carpenter all have in common? Easy, they all have a higher risk of acquiring tendinitis in their shoulders, more specifically rotator cuff tendonitis. Shoulders are a very important component to the body, as they allow you to move your arms in any direction you choose. Seeing that rotator cuff tendinitis is very frequently diagnosed, I was interested to learn more about it and what makes it so common. A shoulder is one of the most complex joints of the body. The anatomy of the shoulder starts where the humerus fits into the scapula almost as if it were mimicking a ball and socket. The scapula has a little tip of itself overlooking the tendons of the shoulder called the acromion and a bit of itself fanning out, a part called the coracoid. Also connected to the scapula is the clavicle or collarbone. Another very important component to the shoulder is the rotator cuff, this is the most vital part to rotator cuff tendonitis. It is composed of four muscles and of various tendons that surround the shoulder socket that allow it to connect the upper arm and the shoulder blade together. Protecting the rotator cuff is is a small sac of fluid called a bursa. The humerus fits relatively loosely into the shoulder joint. This gives the shoulder a wide range of motion, but also makes it vulnerable to injury. In macroscopic detail, the shoulder looks
Your rotator cuff consists of four muscles in your shoulder that allows you to move your arm away from your body. These muscles have tendons, which connect them to the head of your upper arm bone or humerus. When a tear occurs in these muscles, you will experience extreme pain on motion. A rotator cuff tear is also extremely painful at night. If left untreated, it may result in arm weakness.
Four muscles that are attached to the shoulder blade make up the rotator cuff. These muscles work together to ensure the shoulder moves and rotates properly. If the muscles become inflamed or torn, you will struggle
The rotator cuff refers to the group of muscles and tendons in your shoulder that connects your shoulder blade to your upper arm.
This paper is going to be over rotator cuff injuries and what to do if this occurs to an athlete. The rotator cuff consists of four muscles which are the Subscapularis, infraspinatus, teres minor, and the supraspinatus and their associated tendons that insert into the Humerus. These groups of muscles are responsible for rotating the arm internally and externally as well as abducting the shoulder. The acronym for the four muscles of the rotator cuff is known as SITS. The best treatment for symptomatic, nontraumatic rotator cuff tears is unknown. The purpose of this trial was to compare the effectiveness of physiotherapy, acromioplasty, and rotator cuff repair for this injury. The way this trial worked was that 180 shoulders with the symptomatic,
There are many more terms and concepts in throwing a baseball then the wind-up, cocking, acceleration, and the follow through. There is also the stride, your pelvis, rotation, deceleration, force, gravity, resistance and speed. (Maranowski). Within the shoulder, there are three major bones used. They are the clavicle, humerus, and the scapula. Another major component of the shoulder while throwing is the rotator cuff. The rotator cuff is made up of four small muscles which are the subscapularis, supraspinatus, infraspinatus, and the teres minor. The main responsibility of the rotator cuff is for the stability of the shoulder joint. It holds the humeral head in the glenoid socket during early abduction while throwing. (" biomechanics of," ).
c- Palpation: Palpation of the cuff tendon defect is a very useful examination. Rent Test, which is placing the tip of the finger just anterior to the acromion to palpate the defect of the cuff tendon. At the same time extend patients arm and internally and externally rotates to palpate rotator cuff tendons. The sensitivity and specificity of this palpating of the cuff tendon defect for the diagnosis of full-thickness rotator cuff tears were 96 and 97%, respectively, which were equivalent to the sensitivity and specificity of magnetic resonance imaging (MRI) or ultrasonography
Millions of people across the United States suffer from either Bursitis or a rotator cuff injury every year. Although sometimes the two can be misconceived, they are very different in all actuality. Bursitis is the inflammation or irritation of the bursa. A bursa is a fluid-filled sac used as a bumper near the joints to reduce friction. There are many bursae located in your body, some of which being in the hip, shoulder, wrist, and elbow. However, a rotator cuff injury only affects the shoulder area of the body. The “rotator cuff” is composed of the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. There is only one main way to be diagnosed with Bursitis and it happens when you overuse a joint in sports or on the job. You can put the bursa under pressure for a long time, thus causing the bursa to become inflamed.
The rotator cuff is a group of 4 muscles, the supraspinatus, infraspinatus, subscapularis, and the teres minor. These muscles helps to lift your shoulder up over your head and also rotate it toward and away from your body. Unfortunately, it is also a group of muscles that is frequently injured by tears, tendonitis, impingement, bursitis, and strains. The major muscle that is usually involved is the supraspinatus muscle. Rotator Cuff Injuries are usually broken up into the following categories.
What structure passes through the region outlined by the yellow arrow and how does it contribute to the pain experienced in the anterior compartment of the arm by Bruce? (3 marks) The structure passing through the yellow arrow is the humerus. It contributes to the pain at the anterior compartment of the arm by the long head tendon of the biceps muscle grinding against the scapular muscle. This leads to the ongoing instability of the humerus giving Bruce a large chance of a subluxated humerus. The superior labrum will also grind up against his inflamed bursa which is why Bruce has decreased range of motion and lots of
For example, people who play volleyball tend to get supraspinatus tendonitis because they have to constantly raise their hand and apply force to the volleyball. Other hobbies like weightlifting, swimming, rowing, painting, and tennis are all activities that can cause supraspinatus tendonitis because it makes it more likely for the supraspinatus to pass under the acromion. Although this condition occurs more often in athletes and active individuals, people who are between 30 to 60 years old also commonly get this condition as well. Older people get supraspinatus tendonitis, due to supraspinatus tendinosis, which is when there is chronic degeneration without any inflammation. This can cause supraspinatus tendonitis because this condition can occur over time and slowly weaken the shoulder. Additionally, any long term joint disease like like osteoarthritis can cause supraspinatus tendonitis in older individuals because it can also abate the
This disease can be a sudden disease, tendonitis is particularly caused by repetition of a certain movement, eventually, you can develop tendonitis due to everyday jobs, sports, and certain hobbies. The disease can occur at any age, but it is more common in adults who are regularly participating in sports, because the older they get the more they lose elasticity and become weaker. It is a chronic and long term that you can only reduce the pain, but not fully make it disappear.
Shoulder injuries are a very common injury that occurs in most sports. All injuries and the rehabilitation done to the injured shoulder are based on the anatomy and structures of the shoulder. Doctors have developed different tests for evaluating the degree and seriousness of injured shoulders. Some have also developed different phases a person must go through to properly rehabilitate the shoulder.
The conduction of the Apley’s Scratch Test and Gerber’s Lift off Test along with the MRI scans was to identify Rotator Cuff Tendonitis. These tests trial the movement of the rotator cuff to see how the limitations of movement correspond with the receptance of pain. With Rotator Cuff Tendonitis, the individual will experience uncomfortable pain during movement and at night. Occurrence will happen if the individual holds the arm at a certain position for long periods of time, such as working on the computer for continuous hours, branching with poor posture. Another contribution to the occurrence is the individual’s participation in activities that needs the arm to actively and continuously maneuver
Most injuries occur when the stress at a tissue becomes overloaded. In other words, if a stress placed on a tissue reaches capacity, the tendon will default and an injury will occur. Nearly all pubescent swimmer hover around this tissue overload at their posterior rotator cuff. This overload presents itself as pain during provocative tests.
Non-traumatic tendinopathies usually have an insidious onset of localized pain over the anterosuperior shoulder, during the arc range of 60 – 120 degrees. However, as the disorder progresses, it causes pain at night, interfering with the sleep pattern of patients. The sequale following inadequate sleep is vast, as it can disrupt the homeostasis of the body. Rotator Cuff Tendinopathy might cause only a mobility restriction but its impact on the individual as a whole is not as minor as it seems. The disorder initially starts as an inflammatory tendinitis causing pain within the arc range, however as it progresses, it results in the development of secondary adhesive capsulitis. The capsulitis greatly restricts the global movement of the shoulder,