Rotator cuff tears Therapy & Treatment Coventry, Warwickshire

The rotator cuff is made up of four muscles and several tendons that make up a covering around the top of the upper arm bone (humerus). These muscles form a cover around the head of the humerus. The rotator cuff holds the humerus in place in the shoulder joint, witch enables the arm to rotate.

Rotator cuff tear is a common cause of pain and disability among adults. Tears occur in the supraspinatus muscle mostly but other parts of the cuff may be involved.

Anatomy

The rotator cuff helps to rotate and lift the arm and to stabilize the ball of the shoulder within the joint. The rotator cuff has four muscles and their tendons. These combine to form a "cuff "over the upper end of the arm (head of the humerus).

The four muscles of the cuff (supraspinatus, infraspinatus, subscapularis, and teres minor muscles)are attached to the shoulder blade on the back through a single tendon . Another attachment is on the side and front of the shoulder bone.

Cause

The rotator cuff can be torn in a traumatic injury. Patients often report recurrent shoulder pain for months, and note a specific injury that triggered the onset of the pain. Rotator cuff tear may also happen at the same time as a fracture or dislocation injury.

Most tears are the result of overuse of these muscles and tendons over a period of years. People who are especially at risk of overuse are those who engage in repetitive overhead motions in the work place. These include participants in sports such as Discus, Javelin, and hammer throwers, tennis, weight lifting; the rotator cuff can be torn from a single traumatic injury. Patients often report recurrent shoulder pain for several months and a specific injury that triggered the onset of the pain. A cuff tear may also happen at the same time as another injury to the shoulder, such as a fracture or dislocation.

Rotator cuff tears are common in people who are over 30. Younger people tend to have rotator cuff tears following acute trauma or repetitive overhead work or sporting activity.

Rotator cuff tear may often happen as a result of wear and tear.

Symptoms are as follows.

• Thinning of the muscles around the shoulder
• When lifting the arm is painful
• Pain when lowering the arm from a raised position
• Weakness when rotating and lifting the arm
• Crepitus or crackling sensation when moving the shoulder.

Rotator cuff tear symptoms may develop straight after a trauma, such as a lifting injury or a fall on the affected arm. When the tear occurs with an injury, there may be sudden acute pain, and weakness in the arm. Symptoms may also develop gradually with the repetitive overhead activity.

Rupture of the Biceps Tendon at the Elbow

The biceps muscle attaches to the radial tuberosity, which is a small hump on the side of one of the two bones of the forearm (the radius) near the elbow joint. The biceps muscle bends the elbow bringing the hand in towards the body. This muscle also helps to twist the forearm, turning the palm of your down, the motion you would use by putting a light bulb in.

Symptoms

• Swelling in the front of the elbow
• Weakness bending the elbow
• Weakness when twisting the forearm against resistance (light bulb motion)
• Visible bruising

When the tendon disconnects, there is a sensation or may be the sound of a 'pop' in the elbow. Some swelling in the front of the elbow is normal. Then weakness appears when bending the elbow. The biceps muscle and tendon can recoil and shorten, creating a swelling in the upper arm. (See our Cold Laser Therapy Section under Inflammatory conditions.)

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When possible we will prioritise emergencies. For more information, please call us today to arrange an appointment.

Maria Kibkalo DC.MSc (Chiro) CCEP & Associates BCA & GCC registered.

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