Rotator Cuff Tear
From Wikipedia
(Redirected from Rotator Cuff Syndrome)
Muscles on the dorsum of the scapula, and the Triceps brachii.
ICD-10 M75.1, S46.0
ICD-9 726.1 727.61, 840.4
DiseasesDB 32230
eMedicine radio/894 pmr/125 radio/889 sports/115
Rotator cuff tears are tears of one, or more, of the four tendons of the rotator
cuff muscles.
Rotator cuff tears are among the most common conditions affecting the
shoulder.
The tendons of the rotator cuff, not the muscles, are most commonly torn. Of
the four tendons, the supraspinatus is most frequently torn; the tear usually
occurs at its point of insertion onto the humeral head at the greater tuberosity.
Anatomy
The rotator cuff muscles, a group of four muscles that surround the shoulder,
are the: supraspinatus, infraspinatus, teres minor and subscapularis. The four
rotator cuff muscle tendons combine to form a broad, conjoined tendon, called
the rotator cuff tendon, and insert onto the bone of the humeral head in the
shoulder. The humeral head is the ball side of the “ball and socket” shoulder
joint; the socket is called the glenoid fossa.
Presentation
Many rotator cuff tears cause no pain nor produce any symptoms, tears are
known to have an increasing incidence with increasing age. The most frequent
cause of rotator cuff damage is age related degeneration and less frequently by
sports injuries or trauma. Partial and full thickness tears have been found on
post mortem studies and on MRI studies, in people who do not have a history
of shoulder pain or symptoms.
Classification
Tears of the rotator cuff tendon are described as partial thickness tears, full
thickness tears and full thickness tears with complete detachment of the
tendons from bone.
Partial thickness tears often appear as fraying of an intact tendon.
Full thickness tears are through-and-through tears. These can be small pin-point
tears or larger button hole tears or tears involving the majority of the tendon
where the tendon still remains substantially attached to the humeral head and
thus maintains function.
Full thickness tears may may also involve complete detachment of the tendon(s)
from the humeral head and may result in impaired shoulder motion and function
may be significantly affected.
Shoulder pain is variable and does not always correspond to the size of the tear.
Prognosis
While people with rotator cuff tears may not have any noticeable symptoms,
studies have shown that over time 40% will have enlargement of the tear over a
5-year period. Of those whose tears enlarge, 20% have no symptoms while
80% eventually develop symptoms.
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