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July 08, 2008  
EDUCATION CENTER: Shoulder Conditions
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  • Rotator Cuff Tear

    Quick Reference

    Reviewed by Dr. Peter Simonian

    The rotator cuff is a group of tendons that connects the four muscles of the upper shoulder to the bones. The strength of the cuff allows the muscles to lift and rotate the humerus (the bone of the upper arm).
    Learn More
    Video Resources: See how a rotator cuff tear is repaired arthroscopically

    Video courtesy of Smith & Nephew Endoscopy
    When the tendons or muscles of the rotator cuff tear, the patient is no longer able to lift or rotate his or her arm with the same range of motion as before the injury or has significant pain associated with shoulder motion. The pain is also very common at night, often radiating down the arm.

    Detailed Description

    Symptoms
    • Weakness when lifting with the arm or shoulder
    • Pain in shoulder, possibly extending down arm
    • Pain worsens when area is pressed upon or while lifting objects

    Causes and Risk Factors
    Causes

    • Injury, especially while trying to lift or catch a heavy object
    • Overuse, especially after a period of inactivity
    • Poor blood supply to an area of the cuff
    • A fall on an outstretched arm
    • A gradual weakening of the tendons of the shoulder, often associated with impingement

    Risk Factors

    Risk factors include age and weak musculature.

    Treatment

    See your doctor...

    If:

    Your shoulder seems weak or painful and “catches” while raising or rotating the upper arm, or if your range of motion suddenly lessens.

    To:
    Get physical therapy, specific braces, and consider whether surgery is necessary.

    Procedures

    For some cases, surgery may be necessary. Arthroscopic surgery may be recommended by your physician to assess the extent of the injury and smooth the surface of the cartilage. In most rotator cuff repairs, a surgeon will suture the torn tendon together and anchor it to a part of the humerus through small drill holes.

    Medications

    Possible medications include non-steroidal anti-inflammatory medications such as aspirin and ibuprofen. Cortisone injections may also be prescribed to help alleviate pain.

    Prevention

    Check with your doctor before beginning any sport or exercise routine. Also, work your way slowly upwards in weight if doing any weight training or heavy lifting. A sudden jump in load may lead to a tear in the cuff.

    Last updated: 22-Nov-02

       
     
    Interact on Shoulder1

    On May 13, dixiesugr posted:


    I was hit by an 18 wheeler while delivering mail in a mail truck for the USPS on 1/29/2008... severe pain in right shoulder/arm...weakness ...  

  • Read more
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