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Rotator Cuff Injuries


If the pain stays around or the pain is too severe that exercise can't be done, steroid injections usually can reduce the pain and inflammation to allow therapy. Another name for this is the impingement syndrome. Some people are more likely to have this than other people. There are a few factors that determine this, them being the size, shape, and thickness of the outer edge of the scapula bone. The scapula bone may have a bony spur on its front edge which points down towards the rotator cuff tendon. With repetitive forward elevation and overhead activity, the rotator cuff and bursa may impact on this spur and become chronically irritated. .
             The next injury I will talk about in the rotator cuff tear. The rotator cuff tendons can be torn with a fall on the outstretched arm, which causes the rotator cuff to be pinched between the upper arm bone and the shoulder blade (acromion). The rotator cuff can also be torn by chronic impingement of the tendon on an acromial spur. The spur progressively breaks down the rotator cuff and may finally lead to a full thickness tear. It could be difficult to diagnose a rotator cuff tear at first without a MRI. A tear in the cuff could however be diagnosed if the patient shows significant weakness in the shoulder or is unable to lift their arm up away from their side. If the MRI does show a tear in the cuff, surgery is really the only answer for this injury. The rotator cuff tear does not heal by itself. An arthroscope is used to view the shoulder joint and document any injury to the surfaces of the shoulder bones and also to confirm the presence, size and position of the rotator cuff tear. The arthroscope may also be used to remove any bone spurs, which are present in the shoulder area. Current techniques for repair of a rotator cuff tear require approximately a 2-inch incision over the outer aspect of the shoulder. Through this incision the rotator cuff tear is identified and the torn edge is reattached to the humorous bone with stitches.


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