Rotator cuff tendinopathy is a process of senescence. The pathophysiology is mucoid degeneration.[4] Most people develop rotator cuff tendinopathy within their lifetime.[5]
As part of rotator cuff tendinopathy, the tendon can thin and develop a defect. This defect is often referred to as a rotator cuff tear. Acute, traumatic rupture of the rotator cuff tendons can also occur, but is less common. Traumatic rupture of the rotator cuff usually involves the tendons of more than one muscle.[6]
Rotator cuff tendinopathy is, by far, the most common reason people seek care for shoulder pain.[7] Pain related to rotator cuff tendinopathy is typically on the front side of the shoulder, down to the elbow, and worse reaching up or back. Diagnosis is based on symptoms and examination.[8] Medical imaging is used mostly to plan surgery and is not needed for diagnosis.
Treatment may include pain medication such as NSAIDs and specific exercises.[1] It is recommended that people who are unable to raise their arm above 90 degrees after two weeks should be further assessed.[9] Surgery may be offered for acute ruptures and large attritional defects with good quality muscle. The benefits of surgery for smaller defects are unclear as of 2019.[1][10]
^ abcde"Rotator Cuff Injury/Subacromial Bursitis". Merck Manuals Professional Edition. Retrieved 5 November 2018.
^ abcAthwal GS, Armstrong AD (March 2017). Fischer SJ, Wiater JM (eds.). "Rotator Cuff Tears". OrthoInfo – AAOS. Retrieved 5 November 2018.
^Ferri FF (2016). BOPOD – Ferri's Clinical Advisor 2017: 5 Books in 1. Elsevier Health Sciences. p. 1118e2. ISBN 9780323448383.
^Bruni, D. F.; Pierson, S. R.; Sarwar, F.; Ring, D.; Ramtin, S. (2023). "Are the Pathologic Features of Enthesopathy, Tendinopathy, and Labral and Articular Disc Disease Related to Mucoid Degeneration? A Systematic Review". Clinical Orthopaedics and Related Research. 481 (4): 641–650. doi:10.1097/CORR.0000000000002499. PMC 10013668. PMID 36563131.
^Teunis, T.; Lubberts, B.; Reilly, B. T.; Ring, D. (2014). "A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age". Journal of Shoulder and Elbow Surgery. 23 (12): 1913–1921. doi:10.1016/j.jse.2014.08.001. PMID 25441568.
^Aagaard, K. E.; Abu-Zidan, F.; Lunsjo, K. (2015). "High incidence of acute full-thickness rotator cuff tears". Acta Orthopaedica. 86 (5): 558–562. doi:10.3109/17453674.2015.1022433. PMC 4564777. PMID 25708526.
^Crijns, T. J.; Ring, D.; Valencia, V. (2019). "Factors Associated with the Cost of Care for the Most Common Atraumatic Painful Upper Extremity Conditions". The Journal of Hand Surgery. 44 (11): 989.e1–989.e18. doi:10.1016/j.jhsa.2019.01.001. PMID 30782436. S2CID 73509093.
^McFarland, Edward; Maffulli, Nicola; Del Buono, Angelo (2013). "Impingement is not impingement: the case for calling it "Rotator Cuff Disease"". Muscle, Ligaments and Tendons Journal. 3 (3): 196–200. doi:10.32098/mltj.03.2013.11. PMC 3838328. PMID 24367779.
As part of rotatorcuff tendinopathy, the tendon can thin and develop a defect. This defect is often referred to as a rotatorcufftear. Acute, traumatic...
groove. The supraspinatus is most commonly involved in a rotatorcufftear. The rotatorcuff muscles are important in shoulder movements and in maintaining...
such as the rotatorcuff. In disease or injury, this contrast fluid may either leak into an area where it does not belong, indicating a tear or opening...
surface of the supraspinatus tendon (one of the four tendons of the rotatorcuff) from the overlying coraco-acromial ligament, acromion, and coracoid...
indication was primary osteoarthritis with loss of rotatorcuff function. Massive irreparable rotatorcufftear without osteoarthritis has also been an accepted...
blade) to the greater tubercle of the humerus. It is one of the four rotatorcuff muscles and also abducts the arm at the shoulder. The spine of the scapula...
primary cause of shoulder pain is a rotatorcufftear. The supraspinatus is most commonly involved in a rotatorcufftear. When this type of cartilage starts...
procedure or acromioplasty.[citation needed] A rotatorcufftear can be treated with arthroscopic rotatorcuff repair.[citation needed] A shoulder fracture...
typically normal following a rotatorcufftear. Atrophy of the teres minor muscle is often a consequence of a rotatorcufftear, but common isolated teres...
is a syndrome involving tendonitis (inflammation of tendons) of the rotatorcuff muscles as they pass through the subacromial space, the passage beneath...
supraspinous and the infraspinous area is frequently seen as chronic rotatorcufftear resulting in wasting. The wasting may be caused by the supraglenoid...
instability. Complications may include a Bankart lesion, Hill-Sachs lesion, rotatorcufftear, or injury to the axillary nerve. A shoulder dislocation often occurs...
replacement was cufftear arthropathy, which consists of advanced glenohumeral arthritis in the presence of a massive rotatorcufftear. As reverse shoulder...
types of acromia and a correlation between these morphologies and rotatorcufftear: The acromion has four ossification centers called (from tip to base)...
of other problems with the shoulder, e.g., subacromial bursitis or rotatorcufftear, may be needed. Resistant adhesive capsulitis may respond to open...
John E.; Blalock, Richard (2018). "Nonoperative Treatment of RotatorCuffTears". RotatorCuff Injuries: A Clinical Casebook. Springer International Publishing...
associated rotatorcuff injury. In such circumstances, it is suggested that labral debridement and biceps tenotomy is preferred. SLAP (Superior Labral Tear, Anterior...
fossa. As one of the four muscles of the rotatorcuff, the main function of the infraspinatus is to externally rotate the humerus and stabilize the shoulder...
(2020). "Synovial cyst of the acromioclavicular joint with and without rotatorcufftear: A case series of two patients". International Journal of Surgery...
test indicates rotatorcufftear, specifically, supraspinatus muscle tear Drop arm test: a positive test indicates a supraspinatus tear External Rotation...
"Cochrane in CORR®: Shoulder Replacement Surgery For Osteoarthritis And RotatorCuffTear Arthropathy". Clinical Orthopaedics and Related Research. 478 (11):...
subcoracoid bursa is abnormal, and indirectly implies a full thickness rotatorcufftear. Arend CF. Ultrasound of the Shoulder. Master Medical Books, 2013...
study subjects. The effects of the FM method for the treatment of rotatorcufftear disease have also been assessed in post stroke patients. It was demonstrated...
on first try". MLB.com. Retrieved December 1, 2011. "Johnson has rotatorcufftear". ESPN.com. July 29, 2009. Retrieved December 1, 2009. "Giants Activate...
short on June 30 when he underwent arthroscopic surgery to repair a rotatorcufftear in his pitching shoulder after spending parts of three seasons on...
biceps, a tear of the supraspinatus tendon, or even degenerative changes to the rotatorcuff which could result in surgery to fix the tear. Impingement...
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