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Adults over the age of 60 are more susceptible to a rotator cuff tear, with the overall frequency of tears increasing with age. [92] By the age of 50 10% of people with normal shoulders have a rotator cuff tear. [93] In an autopsy study of rotator cuff tears, the incidence of partial tears was 28%, and of complete rupture 30%.
If conservative measures are unsuccessful, surgery can be trialed. Surgery to cut the adhesions (capsular release) may be indicated in prolonged and severe cases; the procedure is usually performed by arthroscopy. Surgical evaluation of other problems with the shoulder, e.g., subacromial bursitis or rotator cuff tear, may be needed.
The rotator cuff compresses the glenohumeral joint during abduction of the arm, an action known as concavity compression, in order to allow the large deltoid muscle to further elevate the arm. In other words, without the rotator cuff, the humeral head would ride up partially out of the glenoid fossa, lessening the efficiency of the deltoid muscle.
The rotator cuff can cause pain in many different ways including tendonitis, bursitis, calcific tendonitis, partial thickness tears, full thickness tears or mechanical impingement. [5] Tendinitis, bursitis, and impingement syndrome can be treated with tendon repair and the Mumford procedure or acromioplasty. [citation needed]
An early expanded indication was primary osteoarthritis with loss of rotator cuff function. Massive irreparable rotator cuff tear without osteoarthritis has also been an accepted indication for a number of years, given numerous studies have reported good functional outcomes. Over the last 10 years the indications for RTSA have seen a huge ...
For example, they’re amazing for targeting the rotator cuff if you’re dealing with a shoulder injury or for doing low-impact exercises to help a banged-up knee feel stronger. Adding Variety To ...