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The humeral head may migrate upward (high-riding humeral head) secondary to tears of the infraspinatus, or combined tears of the supraspinatus and infraspinatus. [51] The migration can be measured by the distance between: A line crossing the center of a line between the superior and inferior rims of the glenoid articular surface (blue in image).
Infraspinatus, 14. Teres minor), 15. Biceps muscle. The rotator cuff (SITS muscles) is a group of muscles and their tendons that act to stabilize the human shoulder and allow for its extensive range of motion. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are: supraspinatus muscle; infraspinatus muscle ...
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Third, most partial-thickness cuff tears do not occur on bursal surface fibers, where mechanical abrasion from the acromion does occur. [29] [30] Fourth, it has been suggested that bursal surface cuff tears could be responsible for subacromial spurs and not the opposite.
The infraspinatus is the main external rotator of the shoulder. When the arm is fixed, it adducts the inferior angle of the scapula. Its synergists are teres minor and the deltoid. [4] The infraspinatus and teres minor rotate the head of the humerus outward (external, or lateral, rotation); they also assist in carrying the arm backward. [1]
The impinged structures include the supraspinatus muscle, teres minor muscle, and the infraspinatus muscle. The Hawkins–Kennedy test is considered to be a highly sensitive test (79%) [ 3 ] and thus a positive Hawkins–Kennedy test suggests that injury is likely.
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]
Injury can be described as a ‘mechanical disruption of tissues resulting in pain.' [13] Despite the fact tissues can self-repair, muscle degradation occurs after repeated and prolonged use. [13] Overuse and strain injuries can occur at work, physical activity and daily life. [11]
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