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However, partial rotator-cuff tears may also demonstrate good pain relief, so a positive response cannot rule out a partial rotator-cuff tear. However, with demonstration of good, pain-free function, the treatment will not change, so the test is useful in helping to avoid overtesting or performing unnecessary surgery.
A torn rotator cuff can occur following trauma to the shoulder or it can occur through the "wear and tear" on tendons, most commonly the supraspinatus tendon found under the acromion. Rotator cuff injuries are commonly associated with motions that require repeated overhead motions or forceful pulling motions.
The injury may vary from mild inflammation to involvement of most of the rotator cuff. When the rotator cuff tendon becomes inflamed and thickened, it may get trapped under the acromion. Squeezing of the rotator cuff is called impingement syndrome. [citation needed] An inflamed bursa is called bursitis. Tendinitis and impingement syndrome are ...
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]
The Neer classification did not distinguish between partial-thickness and full-thickness rotator cuff tears in stage III. [4] This has led to some controversy about the ability of physical examination tests to accurately diagnose between bursitis, impingement, impingement with or without rotator cuff tear and impingement with partial versus ...
Impingement (pinching) of the rotator cuff tendon every night causes injury to the cells of the rotator cuff tendon and some cells may die. Over time, very few cells may be left to hold the rotator cuff together resulting in a complete tear of this tendon with minimal trauma. When the cells die, the contents of the cell are released locally.
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