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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
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.
Surgery may be done arthroscopically or as open surgery. The impinging structures may be removed in surgery, and the subacromial space may be widened by resection of the distal clavicle and excision of osteophytes on the under-surface of the acromioclavicular joint. [4] Damaged rotator cuff muscles can be surgically repaired.
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]
The supraspinatus muscle performs abduction of the arm, and pulls the head of the humerus medially towards the glenoid cavity. [5] It independently prevents the head of the humerus from slipping inferiorly. [5] The supraspinatus works in cooperation with the deltoid muscle to perform abduction, including when the arm is in an adducted position. [5]
Rotator cuff tear surgical repair procedure. Shoulder injuries to cricketers are most often a result of fielding. Overuse of the shoulder when throwing repeatedly during fielding in a cricket game can lead to problems such as tendinitis in the biceps, a tear of the supraspinatus tendon, or even degenerative changes to the rotator cuff which could result in surgery to fix the tear. [3]
[5] [6] A strain injury can also damage the supraspinous ligament. [7] The supraspinous ligament creates resistance during midline epidural anaesthetics when the needle is being inserted. This increased resistance needs to be taken into account, and is one of the first subcutaneous tissues. [8]
A SLAP tear or SLAP lesion is an injury to the superior glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity in the shoulder blade) that initiates in the back of the labrum and stretches toward the front into the attachment point of the long head of the biceps tendon.