query: which muscles are part of the rotator cuff

pos: Rotator cuff Rotator cuff In anatomy, the rotator cuff is a group of muscles and their tendons that act to stabilize the shoulder. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are the supraspinatus muscle, the infraspinatus muscle, teres minor muscle, and the subscapularis muscle. The supraspinatus muscle spreads out in a horizontal band to insert on the superior and middle facets of the greater tubercle. The greater tubercle projects as the most lateral structure of the humeral head. Medial to this, in turn, is the lesser tuberosity of the humeral head. The subscapularis muscle origin

pos: Rotator cuff Rotator cuff In anatomy, the rotator cuff is a group of muscles and their tendons that act to stabilize the shoulder. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are the supraspinatus muscle, the infraspinatus muscle, teres minor muscle, and the subscapularis muscle. The supraspinatus muscle spreads out in a horizontal band to insert on the superior and middle facets of the greater tubercle. The greater tubercle projects as the most lateral structure of the humeral head. Medial to this, in turn, is the lesser tuberosity of the humeral head. The subscapularis muscle origin

pos: Rotator cuff interval is also associated with glenohumeral and biceps instability. The rotator cuff includes muscles such as the supraspinatus muscle, the infraspinatus muscle, the teres minor muscle and the subscapularis muscle. The upper arm consists of the deltoids, biceps, as well as the triceps. Steps must be taken and precautions need to be made in order for the rotator cuffs to heal properly following surgery while still maintaining function to prevent any deteriorating effects on the muscles. In the immediate postoperative period (within one week following surgery), pain can be treated with a standard ice wrap. There are also commercial devices

pos: Infraspinatus muscle Hill Education, 2014. pp. 343, 346, 491, 543. Funk, Lennard. Rotator Cuff Biomechanics. Shoulderdoc.co.uk. TheFresh Healthcare Marketing, 11 Feb 2016. Web. Infraspinatus muscle In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa. As one of the four muscles of the rotator cuff, the main function of the infraspinatus is to externally rotate the humerus and stabilize the shoulder joint. It attaches medially to the infraspinous fossa of the scapula and laterally to the middle facet of the greater tubercle of the humerus. The muscle arises by fleshy fibers from

pos: Shoulder problem Normally these tendons transmit the force of muscles originating on the shoulder Blade (scapula) to the arm providing motion and stability. The most commonly affected tendon is that of the supraspinatus muscle. Defects in the rotator cuff can come from an injury (cuff tear) or from degeneration (cuff wear). The degree to which a tendon is reparable depends on its quantity and quality. Degenerated tendons are often frail and retracted and may not be amenable to repair. Individuals that are elderly, smokers, or those having had cortisone injections often have weaker tendon tissue that fails without a significant injury. By

pos: Rotator cuff stability vary according to their stiffness and the direction of the force they apply upon the joint. In addition to stabilizing the glenohumeral joint and controlling humeral head translation, the rotator cuff muscles also perform multiple functions, including abduction, internal rotation, and external rotation of the shoulder. The infraspinatus and subscapularis have significant roles in scapular plane shoulder abduction (scaption), generating forces that are two to three times greater than the force produced by the supraspinatus muscle. However, the supraspinatus is more effective for general shoulder abduction because of its moment arm. The anterior portion of the supraspinatus tendon is

pos: Architectural gear ratio rotator cuff tear size and the pennation angle of the supraspnatus and infraspinatus muscles was evident. The length of the full-thickness tendon tear strongly correlated with an increase in the pennation angle of the supraspinatus muscle. In addition, a moderately strong association between the area of the full-thickness tear and the resulting increase in pennation angle of the infraspinatus was visible. The increase in pennation angle may lead to changes in muscle structure. In a study utilizing sheep subjects, a chronic rotator cuff tear resulted in an increase in both the pennation angle and separation between myofibers of the rotator

pos: Infraspinatus muscle Infraspinatus muscle In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa. As one of the four muscles of the rotator cuff, the main function of the infraspinatus is to externally rotate the humerus and stabilize the shoulder joint. It attaches medially to the infraspinous fossa of the scapula and laterally to the middle facet of the greater tubercle of the humerus. The muscle arises by fleshy fibers from the medial two-thirds of the infraspinatous fossa, and by tendinous fibers from the ridges on its surface; it also arises from

pos: Rotator cuff tear large full thickness rotator cuff tears. Rehabilitation after surgery consists of three stages. First, the arm is immobilized so that the muscle can heal. Second, when appropriate, a therapist assists with passive exercises to regain range of motion. Third, the arm is gradually exercised actively, with a goal of regaining and enhancing strength. Yoshitsugu Takeda and his team have recently studied rotator cuff injuries and rehab exercises that target the supraspinatus. As mentioned earlier, the supraspinatus muscle is the muscle and tendon within the rotator cuff that is most often injured. In order to rehab the supraspinatus and combat future

neg: Rotator cuff activities are gradually added to the patient’s routine. This program does not require any sort of medication or surgery and can serve as a good alternative. The rotator cuff and the upper muscles are responsible for many daily tasks that people do in their lives. A proper recovery needs to be maintained and achieved to prevent limiting movement, and can be done through simple movements. Rotator cuff In anatomy, the rotator cuff is a group of muscles and their tendons that act to stabilize the shoulder. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles

neg: Rotator cuff tear productivity due to daily wear and tear of the muscles, and many public web sites offer preventive advice. (See external links) The recommendations usually include: According to a study which measured tendon length against the size of the injured rotator cuff, researchers learned that as rotator cuff tendons decrease in length, the average rotator cuff tear severity is proportionally decreased, as well This shows that larger individuals are more likely to suffer from a severe rotator cuff tear if they do not "tighten the shoulder muscles around the joint". Another study observed 12 different positions of movements and their relative

neg: Rotator cuff tear Because individuals are highly dependent on the shoulder for many activities, overuse of the muscles can lead to tears, the vast majority again occurring in the supraspinatus tendon. The role of the supraspinatus is to resist downward motion. The supraspinatus resists downward motion while the shoulder is relaxed as well as when carrying weight. Such a tear usually occurs at its point of insertion onto the humeral head at the greater tubercle. Even though the supraspinatus is the most commonly injured muscle of the four muscles in the rotator cuff, the other three muscles that comprise the rotator cuff, the

neg: Rotator cuff tendon at the entrance of the bicipital groove. The supraspinatus is most commonly involved in a rotator cuff tear. The rotator cuff muscles are important in shoulder movements and in maintaining glenohumeral joint (shoulder joint) stability. These muscles arise from the scapula and connect to the head of the humerus, forming a cuff at the shoulder joint. They hold the head of the humerus in the small and shallow glenoid fossa of the scapula. The glenohumeral joint has been analogously described as a golf ball (head of the humerus) sitting on a golf tee (glenoid fossa). During abduction of the

neg: Rotator cuff manage pain and also recover their full range of motion in the rotator cuff. The first phase involves gentle stretches and passive all around movements, and people are advised not to go above 70 degrees of elevation to prevent any kind of further pain. The second phase of this regimen requires patients to implement exercises to strengthen the muscles that are surrounding the rotator cuff muscles, combined with the passive exercises done in the first phase to keep on stretching the tissues without overexerting them. Exercises include pushups and shoulder shrugs, and after a couple of weeks of this, daily

neg: Rotator cuff submitted to significantly greater load and stress, and performs its mainfunctional role. The tendons at the ends of the rotator cuff muscles can become torn, leading to pain and restricted movement of the arm. A torn rotator cuff can occur following a 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. Such injuries are frequently sustained by athletes whose actions include making repetitive throws, athletes such as baseball

neg: Rotator cuff tear Rotator cuff tear A rotator cuff tear is an injury of one or more of the tendons or muscles of the rotator cuff of the shoulder. Symptoms may include shoulder pain, which is often worse with movement, or weakness. This may limits people's ability to brush their hair or put on clothing. Clicking may also occur with movement of the arm. Tears may occur as the result of a sudden force or gradually over time. Risk factors include certain repetitive activities, smoking, and a family history of the condition. Diagnosis is based on symptoms, examination, and medical imaging. The rotator

neg: Rotator cuff tear be 2 to 3 times more common than bursal-sided tears and among a population of young athletes, articular-sided tears constituted 91% of all partial-thickness tears. Rotator cuff tear A rotator cuff tear is an injury of one or more of the tendons or muscles of the rotator cuff of the shoulder. Symptoms may include shoulder pain, which is often worse with movement, or weakness. This may limits people's ability to brush their hair or put on clothing. Clicking may also occur with movement of the arm. Tears may occur as the result of a sudden force or gradually over time.

neg: Architectural gear ratio and their accompanying tendons. These muscles form a cuff around the glenohumeral joint and function to stabilize and manipulate the shoulder. The pennation angle of the rotator cuff myofibers, the angle at which fibers connect to the associated tendon, affects the contractile properties and function of the whole pennate muscle. For example, the pennation angle determines the architectural gear ratio at which a pennate muscle operates. A large initial pennation angle results in a large AGR and velocity amplification. A 2011 study on human cadaveric shoulders suggests tendon tears may affect the pennation angle of the rotator cuff muscles. Researchers

neg: Shoulder joint the biceps brachii on the anterior side of the arm, and tendons of the rotator cuff; which are fused to all sides of the capsule except the inferior margin. The tendon of the long head of the biceps brachii passes through the bicipital groove on the humerus and inserts on the superior margin of the glenoid cavity to press the head of the humerus against the glenoid cavity. The tendons of the rotator cuff and their respective muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) stabilize and fix the joint. The supraspinatus, infraspinatus and teres minor muscles aid in abduction and

neg: Rotator cuff tear rotator cuff tear. Generally, the incidence of rotator cuff tears or injuries increases by age while corticosteroid injection for pain relief increases the risk of tendon tear and delays tendon healing. The shoulder is a complex mechanism involving bones, ligaments, joints, muscles, and tendons. The two main causes are injury (acute) and degeneration (chronic and cumulative), and the mechanisms involved can be either extrinsic or intrinsic or, probably most commonly, a combination of both. The cuff is responsible for stabilizing the glenohumeral joint, abducting, externally rotating, and internally rotating the humerus. When shoulder trauma occurs, these functions can be compromised.

neg: Rotator cuff tear hemorrhage of the tendon and bursa. Stage II involved tendinitis and fibrosis of the rotator cuff in 25- to 40-year-olds. Stage III involved tearing of the rotator cuff (partial or full thickness) and occurred in those older than 40 years. For surgical purposes, tears are also described by location, size or area, and depth. Further subclasses include the acromiohumeral distance, acromial shape, fatty infiltration or degeneration of muscles, muscle atrophy, tendon retraction, vascular proliferation, chondroid metaplasia, and calcification. Again, in surgical planning, age-related degeneration of thinning and disorientation of the collagen fibers, myxoid degeneration, and hyaline degeneration are considered. However,

neg: Rotator cuff is divided from the remainder of the rotator cuff origins as it is deep to the scapula. The four tendons of these muscles converge to form the rotator cuff tendon. These tendinous insertions along with the articular capsule, the coracohumeral ligament, and the glenohumeral ligament complex, blend into a confluent sheet before insertion into the humeral tuberosities. The insertion site of the rotator cuff tendon at the greater tuberosity is often referred to as the footprint. The infraspinatus and teres minor fuse near their musculotendinous junctions, while the supraspinatus and subscapularis tendons join as a sheath that surrounds the biceps

neg: Greater tubercle Greater tubercle The greater tubercle of the humerus is situated lateral to the head of the humerus and posterolateral to the lesser tubercle. Its upper surface is rounded and marked by three flat impressions. The lateral surface of the greater tubercle is convex, rough, and continuous with the lateral surface of the body. Between the greater tubercle and the lesser tubercle is the bicipital groove (intertubercular sulcus). All three of the muscles that attach to the greater tubercle are part of the rotator cuff, a muscle group that stabilizes the shoulder joint. The fourth muscle of the rotator cuff (the

neg: Rotator cuff tear the rotator cuff muscles become irritated and inflamed while passing through the subacromial space beneath the acromion. This relatively small space becomes even smaller when the arm is raised in a forward or upward position. Repetitive impingement can inflame the tendons and bursa, resulting in the syndrome. Well-documented anatomical factors include the morphologic characteristics of the acromion. Hooked, curved, and laterally sloping acromia are strongly associated with cuff tears and may cause tractional damage to the tendon. Conversely, flat acromia may have an insignificant involvement in cuff disease and consequently may be best treated conservatively. The development of these different

neg: Shoulder problem that attach the shoulder muscles to bone and assist the muscles in moving the shoulder. Ligaments attach shoulder bones to each other, providing stability. For example, the front of the joint capsule is anchored by three glenohumeral ligaments. The rotator cuff is a structure composed of tendons that, with associated muscles, holds the ball at the top of the humerus in the glenoid socket and provides mobility and strength to the shoulder joint. Four filmy sac-like structures called bursa permit smooth gliding between bone, muscle, and tendon. They cushion and protect the rotator cuff from the bony arch of the

neg: Architectural gear ratio compared pennation angle between a control group and tear groups comprising either partial or complete-thickness tendon tears. Via dissection of ten injured and ten non-injured cadeveric shoulders, the study discovered a correlation between tendon tear size and an increase in pennation angle among two of the rotator cuff muscles. Pennation angle remained unaffected across all rotator cuff muscles in the partial tendon tear group, suggesting a threshold tear size must be exceeded to produce any changes in pennation angle. Full-thickness tendon tears did not affect the pennation angle of the subscapularis or teres minor muscles. However, a correlation between full-thickness

neg: Rotator cuff and range of motion of the Subscapularis, Supraspinatus, Infraspinatus, and Teres minor muscles within the rotator cuff. Passive exercises include internal and external rotation of the shoulder joint, as well as flexion and extension of the shoulder.As progression increases after 4–6 weeks, active exercises are now implemented into the rehabilitation process. Active exercises allow an increase in strength and further range of motion by permitting the movement of the shoulder joint without the support of a physical therapist. Active exercises include the Pendulum exercise (as shown in Image 2), which is used to strengthen the Supraspinatus, Infraspinatus, and Subscapularis. External

neg: Architectural gear ratio cuff muscles. Fat cells then populated the rearranged muscle. This phenomenon was also evident in the aforementioned human experiment. The increase in pennation angle following full-thickness tendon tears will result in a change to the PCSA of the supraspinatus and infraspinutus muscles. This would reduce the force producing capacity of these muscles. However, partial tendon tears, which did not result in a change to pennation in any of the rotator cuff muscles, may not impair the force producing properties of the muscles. Azizi’s observations on variable gearing in pennate muscles further suggests tendon tears will affect the AGR of the

neg: Swimming (sport) less stress on joints. Due to continuous rotation and usage, the shoulder (rotator cuff) is the joint most susceptible to injury in swimmers. As opposed to a single incident, injury to the rotator cuff in swimmers is a result of repeated trauma and overuse. The joint is most prone to injury when the arm is repetitively used in a position above the horizontal. This position occurs in each of the four swimming strokes in every cycle of the arms. Of the four muscles and tendons of the rotator cuff, the injury, or tear, is most likely to occur in the

neg: Rotator cuff in outcome was seen with regards to external rotation between the control and treatment group, the subjects that had diabetes mellitus benefited from the treatment that included the capsular release surgery. Their rotator cuff function improved significantly in both forward flexion and external rotation compared to the subjects that were not diagnosed with diabetes mellitus. Patients that suffer from pain in the rotator cuff may consider utilizing orthotherapy into their daily lives. Orthotherapy is an exercise program that aims to restore the motion and strength of the shoulder muscles. Patients can go through the three phases of orthotherapy to help

neg: Shoulder surgery Shoulder surgery Shoulder surgery is a means of treating injured shoulders. Many surgeries have been developed to repair the muscles, connective tissue, or damaged joints that can arise from traumatic or overuse injuries to the shoulder. A separated shoulder can be treated with: Sternoclavicular separation can be treated. The rotator cuff can cause pain in many different ways including tendonitis, bursitis, calcific tendonitis, partial thickness tears, full thickness tears or mechanical impingement. Tendinitis, bursitis, and impingement syndrome can be treated with tendon repair and the Mumford procedure or acromioplasty. A rotator cuff tear can be treated with arthroscopic rotator cuff

neg: Common injuries in cricket tear of the supraspinatus tendon or even degenerative changes to the rotator cuff which could result in a surgery to fix the tear. Impingement, a syndrome that occurs when the rotator cuff muscles are inflamed or irritated, is a major injury risk that can develop amongst bowlers. A 2001–2002 study focused on identifying a workload threshold that would avoid an increased risk in shoulder injuries. The study found that bowlers who produced an average of 123–188 deliveries per week were less likely to face injury whereas bowlers who averaged below 123 deliveries or above 188 deliveries per week were at

neg: Rotator cuff allow the person to continue working those muscles to keep them from undergoing atrophy, while also still maintaining that minimum level of function where daily function is allowed. Doing these exercises will also prevent tears in the muscles that will impair daily function further. Since injuries of the rotator cuff often tend to inhibit motion without first experience discomfort and pain, other methods can be done to help accommodate that. A surgery procedure exists where the joint of the injured area will be freed in order to achieve a full range of motion without too much pain and discomfort, speeding

neg: Shoulder replacement Various studies on shoulder replacements have confirmed this indication, noting specifically that severe glenohumeral arthritis as the cause. In traditional total shoulder arthroplasty the approach begins with separating the deltoid muscle from the pectoral muscles, facilitating access to the shoulder (glenohumeral) joint through a relatively nerve free passageway. The shoulder joint is initially covered by the rotator cuff muscles (subscapularis, supraspinatus, infraspinatus & teres minor) and the joint capsule (glenohumeral ligaments). Typically a single rotator cuff muscle is identified and cut to allow direct access to the shoulder joint. As this point, the surgeon can remove the arthritic portions of

neg: Shoulder problem separations. In severe cases, surgery may be advised. These conditions are closely related and may occur alone or in combination. If the rotator cuff and bursa are irritated, inflamed, and swollen, they may become squeezed between the head of the humerus and the acromion. Repeated motion involving the arms, or the aging process involving shoulder motion over many years, may also irritate and wear down the tendons, muscles, and surrounding structures. Tendinitis is inflammation (redness, soreness, and swelling) of a tendon. In tendinitis of the shoulder, the rotator cuff and/or biceps tendon become inflamed, usually as a result of being

neg: Humerus works to medially, or internally, rotate the humerus. The biceps brachii, brachialis, and brachioradialis (which attaches distally) act to flex the elbow. (The biceps do not attach to the humerus.) The triceps brachii and anconeus extend the elbow, and attach to the posterior side of the humerus. The four muscles of supraspinatus, infraspinatus, teres minor and subscapularis form a musculo-ligamentous girdle called the rotator cuff. This cuff stabilizes the very mobile but inherently unstable glenohumeral joint. The other muscles are used as counterbalances for the actions of lifting/pulling and pressing/pushing. Primitive fossils of amphibians had little, if any, shaft connecting

neg: Separated shoulder ease the pain and muscle spasm. After about four weeks range of motion exercises can be started. Passive exercises are done which the shoulder joint is moved but the muscles stay relaxed. After about six to eight weeks active therapy is started. Such exercises can include isometric strengthening which works the muscles without straining the healing of the joint. After about three months, more active strengthening will be incorporated which focus on improving the strength and control of the rotator cuff muscles and the muscles around the shoulder blade. The exercises that the therapist gives the patient to be done

neg: Rotator cuff tear suggests that rotator cuff tears could be considered a "normal" process of aging rather than a result of an apparent pathological process. They are among the most common conditions affecting the shoulder. A rotator cuff tear can be caused by the weakening of the rotator cuff tendons. This weakening can be caused by age or how often the rotator cuff is used. Adults over the age of 60 are more susceptible to a rotator cuff tear. According to a study in the Journal of Orthopaedic Surgery and Traumatology the frequency of rotator cuff tears can increase with age. The study

neg: Rotator cuff tear tuberosity fracture, and adhesive capsulitis. However, MRI provides more information about adjacent structures in the shoulder such as the capsule, glenoid labrum muscles and bone and these factors should be considered in each case when selecting the appropriate study. X-ray projectional radiography cannot directly reveal tears of the rotator cuff, a 'soft tissue', and consequently, normal X-rays cannot exclude a damaged cuff. However, indirect evidence of pathology may be seen in instances where one or more of the tendons have undergone degenerative calcification (calcific tendinitis). The humeral head may migrate upwards (high-riding humeral head) secondary to tears of the infraspinatus,

neg: Rotator cuff tear the outer edge of the clavicle downwards towards the rotator cuff. Spurs may also be seen on the underside of the acromion, once thought to cause direct fraying of the rotator cuff from contact friction, a concept currently regarded as controversial. As part of clinical decision-making, a simple, minimally invasive, in-office procedure may be performed, the rotator cuff impingement test. A small amount of a local anesthetic and an injectable corticosteroid are injected into the subacromial space to block pain and to provide anti-inflammatory relief. If pain disappears and shoulder function remains good, no further testing is pursued. The test

neg: Rotator cuff tear postoperative pain or pain medication use apparently are not seen between arthroscopic- and open-surgery. Even for full-thickness rotator cuff tears, conservative care (i.e., nonsurgical treatment) outcomes are usually reasonably good. However, many people still have disability and pain despite nonsurgical therapies. For massive tears of the rotator cuff, surgery has shown durable outcomes on 10-year follow-up. However, the same study demonstrated ongoing and progressive fatty atrophy and repeat tears of the rotator cuff. MRI evidence of fatty atrophy in the rotator cuff prior to surgery is predicative of a poor surgical outcome. If the rotator cuff is completely torn, surgery

neg: Impingement syndrome acromion process in order to avoid impingement of the rotator cuff tendons. If the scapula fails to properly elevate the acromion, impingement may occur during the cocking and acceleration phase of an overhead activity. The two muscles most commonly inhibited during this first part of an overhead motion are the serratus anterior and the lower trapezius. These two muscles act as a force couple within the glenohumeral joint to properly elevate the acromion process, and if a muscle imbalance exists, shoulder impingement may develop. Impingement syndrome can usually be diagnosed by history and physical exam. On physical exam, the physician

neg: Shoulder coracoid process of the scapula to the greater tubercle of the humerus. There are also three other ligaments attaching the lesser tubercle of the humerus to lateral scapula and are collectively called the glenohumeral ligaments. The transverse humeral ligament, which passes from the lesser tubercle to the greater tubercle of humerus, covers the intertubercular groove, in which the long head of biceps brachii travels. The rotator cuff is an anatomical term given to the group of four muscles and their tendons that act to stabilize the shoulder. These muscles are the supraspinatus, infraspinatus, teres minor and subscapularis and that hold

neg: Impingement syndrome role in shoulder impingement syndrome. It is a wide, flat bone lying on the posterior thoracic wall that provides an attachment for three different groups of muscles. The intrinsic muscles of the scapula include the muscles of the rotator cuff- the subscapularis, infraspinatus, teres minor and supraspinatus. These muscles attach to the surface of the scapula and are responsible for the internal and external rotation of the glenohumeral joint, along with humeral abduction. The extrinsic muscles include the biceps, triceps, and deltoid muscles and attach to the coracoid process and supraglenoid tubercle of the scapula, infraglenoid tubercle of the scapula,

neg: Shoulder of the rotator cuff are supraspinatus, subscapularis, infraspinatus, and teres minor. The cuff adheres to the glenohumeral capsule and attaches to the humeral head. The shoulder must be mobile enough for the wide range actions of the arms and hands, but stable enough to allow for actions such as lifting, pushing, and pulling. The shoulder consists of a ball-and-socket joint formed by the humerus and scapula and their surrounding structures - ligaments, muscles, tendons - which support the bones and maintain the relationship of one to another. These supporting structures attach to the clavicle, humerus, and scapula, the latter providing

neg: Dead arm syndrome Dead arm syndrome Dead arm syndrome starts with repetitive motion and forces on the posterior capsule of the shoulder. The posterior capsule is a band of fibrous tissue that interconnects with tendons of the rotator cuff of the shoulder. Four muscles and their tendons make up the rotator cuff. They cover the outside of the shoulder to hold, protect and move the joint. Overuse can lead to a buildup of tissue around the posterior capsule called hypertrophy. The next step is tightness of the posterior capsule called posterior capsular contracture. This type of problem reduces the amount the shoulder can

neg: Dead arm syndrome the injury is caught before a SLAP tear, then physical therapy with stretching and exercise can restore it. It is common among baseball pitchers as they age, and it can also occur with quarterbacks in football and handball players also as they age. Dead arm syndrome Dead arm syndrome starts with repetitive motion and forces on the posterior capsule of the shoulder. The posterior capsule is a band of fibrous tissue that interconnects with tendons of the rotator cuff of the shoulder. Four muscles and their tendons make up the rotator cuff. They cover the outside of the shoulder to

neg: Rotator cuff tear severe pain that radiates through the arm, and limited range of motion, specifically during abduction of the shoulder. Chronic tears occur among individuals who constantly participate in overhead activities, such as pitching or swimming, but can also develop from shoulder tendinitis or rotator cuff disease. Symptoms arising from chronic tears include sporadic worsening of pain, debilitation, and atrophy of the muscles, noticeable pain during rest, crackling sensations (crepitus) when moving the shoulder, and inability to move or lift the arm sufficiently, especially during abduction and flexion motions. Pain in the anterolateral aspect of the shoulder is not specific to the

neg: Shoulder problem replaces the shoulder joint with an artificial ball for the top of the humerus and a cap (glenoid) for the scapula. Passive shoulder exercises (where someone else moves the arm to rotate the shoulder joint) are started soon after surgery. Patients begin exercising on their own about three to six weeks after surgery. Eventually, stretching and strengthening exercises become a major part of the rehabilitation programme. The success of the operation often depends on the condition of rotator cuff muscles prior to surgery and the degree to which the patient follows the exercise programme. In young and active patients a

neg: Rotator cuff tear which they use grafted tissues rather than stitching to reconnect tendon segments. This can result in a complete repair. Other options are a partial repair, and reconstruction involving a bridge of biologic or synthetic substances. Partial repairs typically are performed on patients with retracted cuff tears. Two methods of promoting rotator cuff healing are injecting patients' own stem cells (or other growth factors) into the site of the repair, and installing scaffolds (natural or artificial supports that maintain tissue contour). The results of using PRP (platelet rich plasma) to augment the healing of rotator cuff repair at the time of

neg: Rotator cuff tear helps to confirm that the pain arises from the shoulder primarily rather than referred from the neck, heart, or gut. If pain is relieved, the test is considered positive for rotator-cuff impingement, of which tendinitis and bursitis are major causes. 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, treatment will not change, so the test is useful in helping to avoid overtesting or unnecessary surgery. Long-term overuse/abuse of the shoulder joint is generally thought to limit range of motion and

neg: Pulldown exercise If the weight were being pulled solely by the lats, for example, the scapulae would simply be pulled down by gravity, along for the ride. Muscles that attach to and depress the scapulae include the lower trapezius muscle and the pectoralis minor. The pec minor also works in conjunction with the rhomboid muscle and levator scapulae to perform downward rotation of the scapulae. Muscles which attach to the scapulae that adduct and extend the arm include the posterior deltoid muscles, the teres major, and minor stabilizing contribution from some rotator cuff muscles (infraspinatus and teres minor as lateral rotators, subscapularis

neg: Swimming (sport) tendon of the supraspinatus. Rotator cuff impingement is due to pressure on the rotator cuff from part of the scapula as the arm is raised. The best way to prevent injury is to diagnose the issue early. Typically, poor technique and excessive use without rest are the primary causes of injury. Through communication between swimmers, coaches, parents, and medical professionals, any issue can be diagnosed prior to more serious injury. Additionally, proper warm-up and strength training exercises should be completed before any rigorous movements. In treating a rotator cuff injury, the most important factor is time. Due to the nature

neg: Shoulder the glenoid cavity, acromion and coracoid processes. The main joint of the shoulder is the shoulder joint (or glenohumeral joint), between the humerus and the glenoid process of the scapular. The acromioclavicular joint and sternoclavicular joint also play a role in shoulder movements. White hyaline cartilage on the ends of the bones (called articular cartilage) allows the bones to glide and move on each other, and the joint space is surrounded by a synovial membrane. Around the joint space are muscles - the rotator cuff, which directly surrounds and attaches to the shoulder joint - and other muscles that help

neg: Sharpey's fibres Sharpey's fibres Sharpey's fibres (bone fibres, or perforating fibres) are a matrix of connective tissue consisting of bundles of strong predominantly type I collagen fibres connecting periosteum to bone. They are part of the outer fibrous layer of periosteum, entering into the outer circumferential and interstitial lamellae of bone tissue. Sharpey's fibres are also used to attach muscle to the periosteum of bone by merging with the fibrous periosteum and underlying bone as well. A good example is the attachment of the rotator cuff muscles to the blade of the scapula. In the teeth, Sharpey's fibres are the terminal ends

neg: Rotator cuff tear in frequency with age and the most common cause is age-related degeneration and, less frequently, sports injuries or trauma. Some risk factors of experiencing a rotator cuff tear cannot be changed: age, body mass index, and height. Recurrent lifting and overhead motions are at risk for rotator cuff tears. People who have jobs that involve overhead work, such as carpenters, painters, custodians and servers are at risk of also experiencing a rotator cuff tear. People who play sports that involve overhead motions, such as swimming, volleyball, baseball, tennis, and American football quarterbacks, are at a greater risk of experiencing a

neg: Shoulder problem pinched by surrounding structures. 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. An inflamed bursa is called bursitis. Tendinitis and impingement syndrome are often accompanied by inflammation of the bursa sacs that protect the shoulder. Inflammation caused by a disease such as rheumatoid arthritis may cause rotator cuff tendinitis and bursitis. Sports involving overuse of the shoulder and occupations requiring frequent overhead reaching are other potential causes of

neg: Rotator cuff tear these studies we see that the percentages of the prevalence of a rotator cuff tear are very close in number so these numbers show us the prevalence of rotator cuff tears in the general population. In an autopsy study of rotator cuff tears, the incidence of partial tears was 28%, and of complete rupture 30%. Frequently, tears occurred on both sides and the frequency increased with age. The frequency was also higher in females. Other cadaver studies have noted intratendinous tears to be more frequent (7.2%) than bursal-sided (2.4%) or articular-sided tears (3.6%). However, clinically, articular-sided tears are found to

neg: Upper limb and load-bearing capabilities. The mobility of the shoulder girdle is supported by a large number of muscles. The most important of these are muscular sheets rather than fusiform or strap-shaped muscles and they thus never act in isolation but with some fibres acting in coordination with fibres in other muscles. The glenohumeral joint (colloquially called the shoulder joint) is the highly mobile ball and socket joint between the glenoid cavity of the scapula and the head of the humerus. Lacking the passive stabilisation offered by ligaments in other joints, the glenohumeral joint is actively stabilised by the rotator cuff, a

neg: Stroke recovery shoulder is very mobile, and relies on muscles and ligaments to support it, therefore, if a stroke damages the neurons that control those muscles and ligaments, the joint can be affected and pain may result. Analgesics (ibuprofen and acetaminophen) may offer some pain relief for generalized hemiplegic shoulder pain. For people with spasticity associated shoulder pain, botulinum toxin injections into the shoulder muscles has also been shown to provide significant pain relief and improve range of motion. Subacromial corticosteroid injections can be effective for people with shoulder pain related to injury/inflammation of the rotator cuff region. There are several non-pharmacological

neg: Rotator cuff tear is consensus amongst orthopaedic surgeons and physical therapists regarding rotator cuff repair rehabilitation protocols. The timing and duration of treatments and exercises are based on biologic and biomedical factors involving the rotator cuff. For approximately two to three weeks following surgery, a patient experiences shoulder pain and swelling; no major therapeutic measures are instituted in this window other than oral pain medicine and ice. All in all, those patients at risk of failure, should undergo a more conservative approach to rehabilitations. That is followed by the "proliferative" and "maturation and remodeling" phases of healing, which ensues for the following six

neg: Rotator cuff tear shows the participants that were the ages of 70–90 years old had a rate of rotator cuff tears that were 1 to 5. The participants who were 90+ years old the frequency of a rotator cuff tear jumped to 1 to 3. This study shows that with an increase in age there is also an increase in the probability of a rotator cuff tear. By the age of 50 10% of people with normal shoulders have a rotator cuff tear. According to a study in the Journal of Orthopaedics the prevalence of a rotator cuff tear was considerably greater in

neg: Scapula derived from ὦμος (ōmos), the Ancient Greek word for shoulder, and is cognate with the Latin "(h)umerus". The scapula forms the back of the shoulder girdle. In humans, it is a flat bone, roughly triangular in shape, placed on a posterolateral aspect of the thoracic cage. The scapula is a wide, flat bone lying on the thoracic wall that provides an attachment for three groups of muscles: intrinsic, extrinsic, and stabilising and rotating muscles. The intrinsic muscles of the scapula include the muscles of the rotator cuff—the subscapularis, teres minor, supraspinatus, and infraspinatus. These muscles attach to the surface of

neg: Shoulder the head of the humerus in the glenoid cavity during movement. The cuff adheres to the glenohumeral capsule and attaches to the head of the humerus. Together, these keep the humeral head in the glenoid cavity, preventing upward migration of the humeral head caused by the pull of the deltoid muscle at the beginning of arm elevation. The infraspinatus and the teres minor, along with the anterior fibers of the deltoid muscle, are responsible for external rotation of the arm. The four tendons of these muscles converge to form the rotator cuff tendon. This tendon, along with the articular capsule,

neg: Rotator cuff tear oxidative stress induces tenocyte apoptosis causing further rotator cuff tendon degeneration. A neural theory also exists that suggests neural overstimulation leads to the recruitment of inflammatory cells and may also contribute to tendon degeneration. Tears of the rotator cuff tendon are described as partial or full thickness, and full thickness with complete detachment of the tendons from bone. Shoulder pain is variable and may not be proportional to the size of the tear. Neer promoted the concept of three stages of rotator cuff disease. Stage I, according to Neer, occurred in those younger than 25 years and involved edema and

neg: Rotator cuff tear is usually required to reattach the tendon to the bone. If a significant bone spur is present, any of the approaches may include an acromioplasty, a subacromial decompression, as part of the procedure. Subacromial decompression, removal of a small portion of the acromion that overlies the rotator cuff, aims to relieve pressure on the rotator cuff in certain conditions and promote healing and recovery. Although subacromial decompression may be beneficial in the management of partial and full-thickness tear repair, it does not repair the tear itself and arthroscopic decompression has more recently been combined with "mini-open" repair of the rotator

neg: Rotator cuff tear Diagnostic modalities, dependent on circumstances, include X-ray, MRI, MR arthrography, double-contrast arthrography, and ultrasound. Although MR arthrography is currently considered the gold standard, ultrasound may be most cost-effective. Usually, a tear will be undetected by X-ray, although bone spurs, which can impinge upon the rotator cuff tendons, may be visible. Such spurs suggest chronic severe rotator cuff disease. Double-contrast arthrography involves injecting contrast dye into the shoulder joint to detect leakage out of the injured rotator cuff and its value is influenced by the experience of the operator. The most common diagnostic tool is magnetic resonance imaging (MRI), which can

neg: Greater tubercle subscapularis) does not attach to the greater tubercle, but instead attaches to the lesser tubercle. Greater tubercle The greater tubercle of the humerus is situated lateral to the head of the humerus and posterolateral to the lesser tubercle. Its upper surface is rounded and marked by three flat impressions. The lateral surface of the greater tubercle is convex, rough, and continuous with the lateral surface of the body. Between the greater tubercle and the lesser tubercle is the bicipital groove (intertubercular sulcus). All three of the muscles that attach to the greater tubercle are part of the rotator cuff, a

neg: Rotator cuff tear cuff is made up of the supraspinatus, infraspinatus, teres minor, and subscapularis. The supraspinatus is the most commonly affected. Treatment may include pain medication such as NSAIDs and specific exercises. It is recommended that people who are unable to raise their arm above 90 degrees after 2 weeks should be further assessed. In severe cases surgery may be indicted. Rotator cuff tears are common. Those over the age of 40 are most often affected. The condition has been described since at least the early 1800s. Many rotator cuff tears have no symptoms. Both partial and full thickness tears have been

neg: Deltoid muscle serological investigation. The deltoid is also found in members of the great ape family other than humans. The human deltoid is of similar proportionate size as the muscles of the rotator cuff in apes like the orangutan, which engage in brachiation and possess the muscle mass needed to support the body weight by the shoulders. In other apes, like the common chimpanzee, the deltoid is much larger than in humans, weighing an average of 383.3 gram compared to 191.9 gram in humans. This reflects the need to strengthen the shoulders, particularly the rotatory cuff, in knuckle walking apes for the

neg: Shoulder replacement the joint and then secure the ball and socket prostheses within the joint. The development of safer, more effective techniques have led the to increased use of reverse total shoulder arthroplasty. Reverse total shoulder arthroplasties are typically indicated when the rotator cuff muscles are severely damaged. There are a few major approaches for reverse total shoulder arthroplasties. The first is the deltopectoral approach, which is the approach described above for the traditional total shoulder arthroplasty. This approach saves the deltoid, but requires the supraspinatus to be cut. The second is the transdeltoid approach, which provides a straight on approach at

neg: Flat iron steak of steak is from the shoulder of a beef animal. It is located adjacent to the heart of the shoulder clod, under the seven or paddle bone (shoulder blade or scapula). The steak encompasses the infraspinatus muscles of beef, and one may see this displayed in some butcher shops and meat markets as a "top blade" roast. Anatomically, the muscle forms the dorsal part of the rotator cuff of the steer. This cut is anatomically distinct from the shoulder tender, which lies directly below it and is the teres major. Flat iron steaks usually have a significant amount of marbling.

neg: Lateral rotator group Lateral rotator group The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint. It consists of the following muscles: Piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus. All muscles in the lateral rotator group originate from the hip bone and insert on to the upper extremity of the femur. The muscles are innervated by the sacral plexus (L4-S2), except the obturator externus, which is innervated by the lumbar plexus. This group does not include all muscles which aid in lateral

neg: Rotator cuff tear may have significance include os acromiale and acromial spurs. Environmental factors implicated include increasing age, shoulder overuse, smoking, and any medical condition that affects circulation or impairs the inflammatory and healing response, such as diabetes mellitus. Intrinsic factors refer to injury mechanisms that occur within the rotator cuff itself. The principal is a degenerative-microtrauma model, which supposes that age-related tendon damage compounded by chronic microtrauma results in partial tendon tears that then develop into full rotator cuff tears. As a result of repetitive microtrauma in the setting of a degenerative rotator cuff tendon, inflammatory mediators alter the local environment, and

neg: Winged scapula scapula is also caused by trapezius and rhomboid palsy involving the accessory nerve and the dorsal scapular nerve, respectively. Though the most common causes of a winged scapula is due to serratus anterior palsy, and less commonly trapezius and rhomboid palsy, there are still other circumstances that present the ailment. These incidences include direct injuries to the scapulothoracic muscles (i.e. trapezius and rhomboid muscles), and structural abnormalities (e.g. rotator cuff pathology, shoulder instability, etc.). In addition to history and exam, it has been recommended to perform projectional radiography of the neck, chest, shoulder, and thoracic inlet to rule out structural

neg: Rotator cuff arm, moving it outward and away from the trunk, the rotator cuff compresses the glenohumeral joint, 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 anterior and posterior directions of the glenoid fossa are more susceptible to shear force perturbations as the glenoid fossa is not as deep relative to the superior and inferior directions. The rotator cuff's contributions to concavity compression and

neg: Lateral rotator group rotation of the hip joint: rather it is a collection of ones which are known for primarily performing this action. Other muscles that contribute to lateral rotation of the hip include: Lateral rotator group The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint. It consists of the following muscles: Piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus. All muscles in the lateral rotator group originate from the hip bone and insert on to the upper extremity of the femur.

neg: Shoulder the coracohumeral ligament, and the glenohumeral ligament complex, blend into a confluent sheet before insertion into the humeral tuberosities. 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. Muscles from the shoulder region In addition to the four muscles of the rotator cuff, the deltoid muscle and teres major muscles arise and exist in the shoulder region itself. The deltoid muscle covers the shoulder joint on three sides, arising from the front upper third of the clavicle,

neg: Bench press It also uses predominantly triceps and anconeous to extend the elbows. Wider hand spacing places a greater emphasis on shoulder flexion and narrower hand spacing utilizes more elbow extension. Because of this, wider hand spacing is associated with training the pectorals and narrower hand spacing is associated with training the triceps. In addition to the major phasic (dynamic) muscles the bench press also uses tonic (stabilizing) muscles: scapular stabilizers (serratus anterior, middle and inferior trapezius), humeral head stabilizers (rotator cuff muscles), and core (transverse abdominis, obliques, multifidus, erector spinae, quadratus lumborum) Variations of the bench press involve different groups of

neg: Architectural gear ratio Fig. 2 The model results show the more a muscle bulges in dorsoventral height, the further the muscle fibers shorten, therefore providing a higher Architectural gear ratio. In pennate muscles, segments with higher pennation angles put out less force per shortening muscle fiber. Therefore, the architectural gear ratio of a pennate muscle is higher than the architectural gear ratio of spindle like muscles (e.g. fusiform). A smaller fiber length neutralizes this higher architectural gear ratio if the muscle fibers must be squeezed into the same space. The rotator cuff comprises four pennate muscles, the supraspinatus, infraspinatus, subscapularis and teres minor,

neg: Pull-up (exercise) arm include the posterior deltoid muscles, the teres major, and minor stabilizing contribution from some rotator cuff muscles (infraspinatus and teres minor as lateral rotators, subscapularis as medial rotators). The abdominal muscles stabilize the torso by connecting the rib cage to the pelvis. The rectus abdominis (along with hip flexors) can generate force to lift the lower body up during kipping, but can also stabilize the front of the pelvis from drifting away from the sternum, just as the erector spinae help to keep the vertebrae from drifting apart in the back. The external and internal obliques perform similar roles

neg: Rotator cuff tear visible in thin arms. Tendon transfers are prescribed for young, active cuff-tear patients who experience weakness and decreased range of motion, but little pain. The technique is not considered appropriate for older people, or those with pre-operative stiffness or nerve injuries. People diagnosed with glenohumeral arthritis and rotator cuff anthropathy have the alternative of total shoulder arthroplasty, if the cuff is largely intact or repairable. If the cuff is incompetent then a reverse shoulder arthroplasty is available and, although not as robust a prosthesis, does not require an intact cuff to maintain a stable joint. They are known to increase

neg: Rotator cuff tear or arthritis. Superior labral anterior-posterior lesions produce pain similar to that of rotator cuff tears. Those most prone to failed rotator cuff syndrome are patients 65 years of age or older; and those with large, sustained tears. Smokers, diabetes sufferers, patients with muscle atrophy and/or fatty infiltration, and those who do not follow postoperative-care recommendations also are at greater risk. Doctors examine patients and conduct imaging tests to identify the causes of continued discomfort. Depending upon the diagnosis, several treatment alternatives are available. They include revision repair, nonanatomic repair, tendon transfer and arthroplasty. When possible, surgeons make tension-free repairs in

neg: Subacromial bursitis Subacromial bursitis 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. The subacromial bursa helps the motion of the supraspinatus tendon of the rotator cuff in activities such as overhead work. Musculoskeletal complaints are one of the most common reasons for primary care office visits, and rotator cuff disorders are the most common source of shoulder pain. Primary inflammation of

neg: Rotator cuff tear Multiple injections (four or more) have been shown to compromise the results of rotator cuff surgery which result in weakening of the tendon. However, before any rotator cuff strengthening can be started, the shoulder must have a full range of motion. After a full, painless range of motion is achieved, the patient may advance to a gentle strengthening program. Rockwood coined the term orthotherapy to describe this program which is aimed at creating an exercise regimen that initially gently improves motion, then gradually improves strength in the shoulder girdle. Each patient is given a home therapy kit, which includes elastic

neg: Rotator cuff tear cuff tears. However, its routine use is not advised, since it involves entering the joint with a needle with potential risk of infection. Consequently, the test is reserved for cases in which the diagnosis remains unclear. Musculoskeletal ultrasound has been advocated by experienced practitioners, avoiding the radiation of X-ray and the expense of MRI while demonstrating comparable accuracy to MRI for identifying and measuring the size of full-thickness and partial-thickness rotator cuff tears. This modality can also reveal the presence of other conditions that may mimic rotator cuff tear at clinical examination, including tendinosis, calcific tendinitis, subacromial subdeltoid bursitis, greater

neg: Impingement syndrome Impingement syndrome Shoulder impingement syndrome is a syndrome which occurs when the tendons of the rotator cuff muscles become irritated and inflamed as they pass through the subacromial space, the passage beneath the acromion. This can result in pain, weakness and loss of movement at the shoulder. The most common symptoms in impingement syndrome are pain, weakness and a loss of movement at the affected shoulder. The pain is often worsened by shoulder overhead movement and may occur at night, especially when lying on the affected shoulder. The onset of the pain may be acute if due to an injury

neg: Rotator cuff tear a patient's range of motion and the degree of shoulder function. Due to the conflicting information about the relative benefits of rehab conducted early or later, an individualized approach is necessary. The timing and nature of therapeutic activities are adjusted according to patients' ages, the tissue integrity of their rotator cuff repairs and other factors. Special considerations are appropriate for those who have suffered multiple tears. While people with rotator cuff tears may not have any noticeable symptoms, studies have shown that, those with age related tears, over time 40% will have enlargement of the tear over a five-year period.

neg: Shoulder replacement imposed by the natural shoulder anatomy. The 1970s saw an exponential increase in surgical approaches using this methodology, and the number and variation of surgical techniques are many. However, in 1985 Paul Grammont emerged with a superior technique that is the basis for most reverse shoulder replacement procedures today. However, it is of note that the reverse shoulder replacement is primarily indicated in cases in which a patient has weak or torn rotator cuff muscles. In others, a conventional shoulder replacement may be indicated. Although Grammont continued to develop and refine his new technique to address minor complications that arose,

neg: Rotator cuff tear to ten weeks. The effect of active or passive motion during any of the phases is unclear, due to conflicting information and a shortage of clinical evidence. Gentle physical therapy guided motion is instituted at this phase, only to prevent stiffness of the shoulder; the rotator cuff remains fragile. At three months after surgery, physical therapy intervention changes substantially to focus on scapular mobilization and stretching of the glenohumeral joint. Once full passive motion is regained (at usually about four to four and a half months after surgery) strengthening exercises are the focus. The strengthening focuses on the rotator cuff

neg: Rotator cuff with relatively more frequent but mild adverse events."" Surgery is often recommended for patients with an acute, traumatic rotator cuff tear resulting in substantial weakness. Surgery can be performed open or arthroscopically, although the arthroscopic approach has become much more popular. If a surgical option is selected, the rehabilitation of the rotator cuff is necessary in order to regain maximum strength and range of motion within the shoulder joint. Physical therapy progresses through four stages, increasing movement throughout each phase. The tempo and intensity of the stages are solely reliant on the extent of the injury and the patient’s activity

neg: Shoulder The primary cause of shoulder pain is a rotator cuff tear. The supraspinatus is most commonly involved in a rotator cuff tear. When this type of cartilage starts to wear out (a process called arthritis), the joint becomes painful and stiff. Imaging of the shoulder includes ultrasound, X-ray and MRI, and is guided by the suspected diagnosis and presenting symptoms. Conventional x-rays and ultrasonography are the primary tools used to confirm a diagnosis of injuries sustained to the rotator cuff. For extended clinical questions, imaging through Magnetic Resonance with or without intraarticular contrast agent is indicated. Hodler et al. recommend

neg: Subacromial bursitis persists other causes should be evaluated such as a tear of the rotator cuff or a neurological problem arising from the neck or entrapment of the suprascapular nerve. The onset of pain may be sudden or gradual and may or may not be related to trauma. Night time pain, especially sleeping on the affected shoulder, is often reported. Localized redness or swelling are less common and suggest an infected subacromial bursa. Individuals affected by subacromial bursitis commonly present with concomitant shoulder problems such as arthritis, rotator cuff tendinitis, rotator cuff tears, and cervical radiculopathy (pinched nerve in neck). Impingement may

neg: Rotator cuff tear factors contribute to degenerative, or chronic, rotator cuff tears of which repetitive stress is the most significant. This stress consists of repeating the same shoulder motions frequently, such as overhead throwing, rowing, and weightlifting. Many jobs that require frequent shoulder movement such as lifting and overhead movements also contribute. Another factor in older populations is impairment of blood supply. With age, circulation to the rotator cuff tendons decreases, impairing natural ability to repair, ultimately leading to, or contributing to, tears. The final common factor is impingement syndrome, the most common non-sports related injury and which occurs when the tendons of

neg: Rotator cuff tear males than in females within the ages of 50–60 years old, within the ages of 70–80 years old there wasn’t much difference in prevalence. The data of this study showed that the prevalence of a rotator cuff tear in the general population is 22.1% Yamamoto et al. performed a medical examination on 683 people whom live in a mountain village. The purpose of this study was to determine the prevalence of a rotator cuff tear among a population. Yamamoto found that among the mountain village population, rotator cuff tears were present in 20.7% of the village population. In both of

neg: Rotator cuff tear sometimes indicate the size of the tear, as well as its location within the tendon. Furthermore, MRI enables the detection or exclusion of complete rotator cuff tears with reasonable accuracy and is also suitable to diagnose other pathologies of the shoulder joint. The logical use of diagnostic tests is an important component of effective clinical practice. Clinical judgement, rather than over reliance on MRI or any other modality, is strongly advised in determining the cause of shoulder pain, or planning its treatment, since rotator cuff tears are also found in some without pain or symptoms. The role of X-ray, MRI,

neg: Rotator cuff tear injuries in the rotator cuff, Takeda’s team has concluded that the empty can and full can exercises are most effective at isolating and strengthening the supraspinatus. Following arthroscopic rotator-cuff repair surgery, patients undergo rehabilitation to regain shoulder function. Orthopaedic surgeons stress that physical therapy is crucial to healing. Exercises decrease shoulder pain, strengthen the joint, and improve the arm's range of motion. Therapists, in conjunction with the surgeon, design workout regimens in accordance with individuals' needs and risk factors. Traditionally, patients have been advised to immobilize their shoulders for six weeks before doing rehabilitation. However, the appropriate timing and intensity

neg: Prehabilitation general surgery. Prehabilitation Prehabilitation, or prehab, a form of strength training, aims to prevent injuries before the actual occurrence. Since rotator cuff and elbow injuries, among other things, are common among athletes in a wide range of sports, training the muscles surrounding these vulnerable joints can prevent injuries sustained from repeated wear and exertion. Prehab can be applied to people awaiting orthopaedic surgery. The intention is that the fitter they are when they have surgery the quicker they will recover from surgery. Massage and strengthening exercises are tailored to the patient so that even those with end-stage arthritis (bone on

neg: Prehabilitation Prehabilitation Prehabilitation, or prehab, a form of strength training, aims to prevent injuries before the actual occurrence. Since rotator cuff and elbow injuries, among other things, are common among athletes in a wide range of sports, training the muscles surrounding these vulnerable joints can prevent injuries sustained from repeated wear and exertion. Prehab can be applied to people awaiting orthopaedic surgery. The intention is that the fitter they are when they have surgery the quicker they will recover from surgery. Massage and strengthening exercises are tailored to the patient so that even those with end-stage arthritis (bone on bone) can

neg: Pitcher of the Tommy John procedure. Jobes are exercises that have been developed to isolate, strengthen and stabilize the rotator cuff muscles. Jobes can be done using either resistance bands or lightweight dumbbells. Common jobe exercises include shoulder external rotation, shoulder flexion, horizontal abduction, prone abduction and scaption (at 45°, 90° and inverse 45°). In addition to the Jobes exercises, many pitching coaches are creating lifting routines that are specialized for pitchers. Pitchers should avoid exercises that deal with a barbell. The emphasis on the workout should be on the legs and the core. Other body parts should be worked on

neg: Shoulder of structures in the region of the joint. The shoulder joint is the main joint of the shoulder. It is a ball and socket joint that allows the arm to rotate in a circular fashion or to hinge out and up away from the body. The joint capsule is a soft tissue envelope that encircles the glenohumeral joint and attaches to the scapula, humerus, and head of the biceps. It is lined by a thin, smooth synovial membrane. The rotator cuff is a group of four muscles that surround the shoulder joint and contribute to the shoulder's stability. The muscles