Lindsay Simpson
Betsy Schlosser
PTST 20003
15 April 2014
Research Paper: Rotator Cuff Tear and Repair
Shoulder injuries are very common amongst people of all ages. If you think about it, we use our shoulders for numerous daily activities like driving, reaching up in cupboards, washing and brushing our hair, picking up items off the floor, reaching in our pockets whether it be in the front or the back, putting a belt on, and many others. A common injury that occurs in the shoulder though, is the rotator cuff. This structure is very often torn in individuals who use a lot of overhead reaching motions or are forcefully pulling objects constantly. A couple examples of people that do these motions constantly are athletes and construction workers. A rotator cuff tear can be caused by a direct-blow to the shoulder or it can happen over a period of time with wear and tear. Normally when an individual has a rotator cuff tear, they will present with pain or weakness when trying to lift their arm.
So what is a rotator cuff and what is the anatomy of it? The rotator cuff is
“a group of flat tendons which fuse together and surround the front, back, and top of the shoulder joint like a cuff on a shirt sleeve. These tendons are connected individually to short, but very important, muscles that originate from the scapula. When the muscles contract, they pull on the rotator cuff tendon, causing the shoulder to rotate upward, inward, or outward, hence the name "rotator cuff." “ (http://www.scoi.com/rotator-cuff.php#5)
The anatomy of the rotator cuff has four muscles and joints that attach to bones of the shoulder joint. These muscles are the supraspinatus, infraspinatus, teres minor, and subscapularis (The SITS muscles). These muscles will t...
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....gov/pmc/articles/PMC3449033/ This shows that patient’s must continue to exercise the rotator cuff consistently in order to strengthen and increase their range of motion. The outcome of surgery is very important to the individual, doctors, therapists, and many others.
In conclusion, prevention from injury is very important for any part of our body. We must do what we can to keep our muscles, bones, ligaments, and tendons healthy. In order to keep the rotator cuff healthy, we must consistently stretch and strengthen the muscles around it while improving trunk strength and posture to help with the forward head and rounded shoulders, which causes impingement. Both rotator cuff tears and impingement syndrome can definitely affect the way an individual performs daily activities and can be seen by the way they lift things and move their arm. Prevention from injury is key!
Many factors like patients age, symptoms, size of the tear, and nature of onset (traumatic or degenerative) are responsible for determining the prognosis of the physical therapy treatment 9. Since it’s a partial thickness tear of the rotator cuff, the non-operative treatment is reasonable unlike, a full thickness tear where surgery will be required to treat the patient 9. The patient shows symptoms of moderate irritability without significant functional deficit which makes him a good candidate for conservative treatment 10. The pain reported by the patient is 6/10 so the patient participates well in physical therapy exercise to increase shoulder strength, and flexibility. There was a study done from Finland which asserted that physical therapy alone can produce results which are equal to those produced by arthroscopic surgery and open surgical repair in cases of rotator cuff tears 11. In this case, with three weeks of physical therapy the patient has showed a decrease in pain and reported it as 4/10 on pain rating scale and showed improvements in abduction (140̊) and external rotation (65̊). The MMT for shoulder abduction was 4-/5 and external rotation is still same as
That's basically it. A surgery that baseball players and fans have grown to appreciate, and one of the more scientific breakthroughs in modern sports medicine. And after doing this report I’m fascinated by the modern science and how a tendon in your wrist can be used as a ligament.
A rotator cuff is simply a group of four tendons and muscles that are located right on the shoulder and on top of the humerus bone. (Source 1) The rotator cuff is what controls the shoulder and allows it to move and be mobile. The four main muscles that consist of the tendons are the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. (Source 2). Too much wear and tear on these muscles (such as too many thrown fastballs) is precisely what causes the rotator cuff to begin to tear, as well as swelling in the tendons.
The surfaces of the joint are organised to allow only back and forth motion such as bending and straightening. This type of joint can be found between your upper arm and your lower arm, in the elbow. This type of joint is incredibly important as it allows an up and down movement, without this type of joint, we wouldn’t be able to move our arm up and down. Muscles are attached to this type of joint by tendons to allow it to contract and relax and be able to move the bone within this joint. Ligaments attach the bones in a hinge joint together, for example, the humerus and the tibia are joined by ligaments but they also have antagonist muscle pairs attached to them by tendons which allow the bone to move by contraction and relaxation of the muscles.
One of the functions of the rotator cuff muscles and the long head of the biceps, is to pull the head of the humerus down from the acromion process, to prevent impingement. Strengthening the subscapularis, infraspinatus and teres minor can help with this function. Dr. Fishman discovered a technique when doing yoga and experienced relief of his own rotator cuff pain.
You badly want to get your body in shape so you decided to run every morning. However, after each run, your lower leg suffers from pain and the pain seems to occur from the inner side of your lower leg. This might be a case of shin splints.
The most common way to tear the A.C.L is by violently twisting the knee. This can happen with or without contact. Most people say they hear “a pop“. It can occur when you‘re slowing down from running, planting and suddenly changing direction, or hyperextending the knee. “When this happens immediate pain results, the knee will fully swell, tenderness occurs around the knee, and the range of motion will be greatly affected.” ( Micheli, Dr. Lyle J. ) The first thing to do if an injury occurs is to use R.I.C.E., which stands for rest, ice, compression, and elevation.
There are many injuries in general, but sports injuries? Sprains and Strains are the most common injuries in sports. “Sprains are injuries to ligaments, the tough bands connecting in a joint. Suddenly stretching ligaments past their limits deforms or tears them” (Hoffman 1). Ligaments are like springs in a sense that when you stretch a spring, it will return to it’s normal state unless they are
In this case, appropriate conservative measures in the form of medications, physical therapy, and chiropractic treatment were provided. An MR arthrogram of the right shoulder did not demonstrate any obvious rotator cuff tear. The test revealed some bursal fraying. His biceps were also noted to be intact. It was also noted that the claimant was still capable of performing light household chores. The records also revealed that his condition was slightly improved.
Herniate discs are very common and become more common with age. However, not all herniated discs will cause symptoms. Research shows that 30% of 20-year-old’s have disc herniation with no back pain as well as 84% of 80-year
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
For descriptive purposes, factors related to shoulder impingement can be divided into intrinsic and extrinsic categories. Intrinsic factors directly involve the subacromial space and include changes in vascularity of the rotator cuff, degeneration, and anatomy or bony anomalies. Extrinsic factors include muscle imbalances and motor control problems of t...
The shoulder joint allows the arm to move in many directions, which makes it the most mobile joint in the human body. With this mobility comes some drawbacks, since the joint is unstable and becomes dislocated easily.
The shoulder is one of the most complicated groupings of joints, tendons and muscles in the body. No one knows that better than shoulder doctor McLaughlin, who has operated on both shoulders on more than 200 patients. Using cutting-edge