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Rotator cuff tear; Other names: Rotator cuff injury, rotator cuff disease: Some of the muscles of the rotator cuff, with a tear in the supraspinatus muscle: Specialty: Orthopedics: Symptoms: Shoulder pain, weakness [1] Types: Partial, complete [2] Diagnostic method: Based on symptoms, examination, medical imaging [2] Differential diagnosis
MRI showing subacromial impingement with partial rupture of the supraspinatus tendon, but no retraction or fatty degeneration of the supraspinatus muscle. Impingement syndrome can be diagnosed by a targeted medical history and physical examination , [ 11 ] [ 12 ] but it has also been argued that at least medical imaging [ 13 ] (generally X-ray ...
Subacromial bursitis is a condition caused by inflammation of the bursa that separates the superior surface of the supraspinatus tendon (one of the four tendons of the rotator cuff) from the overlying coraco-acromial ligament, acromion, and coracoid (the acromial arch) and from the deep surface of the deltoid muscle. [1]
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
The infraspinatus and teres minor fuse near their musculotendinous junctions, while the supraspinatus and subscapularis tendons join as a sheath that surrounds the biceps tendon at the entrance of the bicipital groove. [3] The supraspinatus is most commonly involved in a rotator cuff tear.
[10] A 2016 study evaluating the effectiveness of arthroscopic treatment of rotator cuff calcification firmly supported surgical intervention. Calcification of the supraspinatus tendon is a major contributor to shoulder pain in the general population and is often worsened following a supraspinatus tear.
In both tests, the patient is placed in a standing or sitting position, and the arms are raised parallel to the ground in the scapular plane. [2] The tests differ in the rotation of the arm; in the empty can test, the arm is rotated to full internal rotation (thumb down) and in the full can test, the arm is rotated to 45° external rotation, thumb up. [1]
The supraspinatus is most commonly involved in a rotator cuff tear, [22] but other parts of the rotator cuff may also be involved. There are different severities of a rotator cuff tear, which range from a partial tear to a full-thickness tear. [23] A partial tear is when the tendon is thinned, but still connected to the bone.