The rotator cuff is the group of four muscles( SUPRASPINATUS, INFRASPINATUS, SUBSCAPULARIS AND BICEPS) and ligaments that border the shoulder joint, giving strength and stability. Above the rotator there is a bursa or sac of tissue, that covers and defend the rotator cuff as it comes into close contact with bones around the shoulder.
Causes of Rotator Cuff Tear
POST TRAUMATIC - FOLLOWING INJURY DEGENERATIVE result from aging and deterioration of the cuff. Rotator cuff tears increment in frequency with age.
SIGNS AND SYMPTOMS
Tor cuff can vary from microscopic tears to large irreparable tears. Symptoms can include:
- Restricted motion
- Feeling of instability
- INABILITY TO DO OVERHEAD ACTIVITY: The symptoms are generally worse in specific positions, such as reaching reverse to fasten a seat belt or pick up a briefcase out of the back seat. Symptoms can also be worse when the arm is elevated overhead, particularly if there is weight on the arm, for example when picking up a stack of plates out of a cupboard. Overhead activities like throwing, pitching, playing tennis or playing racquet-ball commonly worsen symptoms.
How are Rotator Cuff injuries diagnosed?
The diagnosis can come from:
- History and physical examination
- X-rays: they are useful to look for calcifications, arthritis or bone issues that can cause rotator cuff tears.
- MRI: This is the very common imaging method to diagnose rotator cuff tears. It can be utilized to look for tears or inflammation of tissues and to help determine the size and character of the tear to recommend proper treatment.
- Arthroscopy may also be utilized to help diagnose rotator cuff tears.
- Alterations in activities: Learning to utilize the shoulder in a safer, more comfortable man-ner is imperative.
- Physical therapy: This may help retouch motility and strengthen shoulder muscles.
- Anti-inflammatory medications and injections: These are utilized for pain relief and to lack inflammation.
Arthroscopic repair of rotator cuff is ideal treatment in symptomatic patient.