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Rotator Cuff Injury : Overview
The rotator cuff is a group of muscles and tendons that surround the shoulder joint.
Muscles- Supraspinatus, Infraspinatus, Subscapularis, Teres minor.
A rotator cuff injury can cause a dull ache. And restricts functional activities of shoulder joint like Flexion, abduction, rotations, etc.
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Rotator Cuff Injury : What Is Coracoacromial Arch?
(CA Arch)
Formed by- Coracoid Process, Acromion Process.
Roof formed by- Coracoacromial Ligament.
Contents under the arch- Rotator cuff tendons, subacromial bursa.
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Rotator Cuff Injury : Causes
1° Causes - Damage to components forming CA arch, damage to Rotator cuff tendons.
E.g-
- bony defect in Acromion, Coracoid process hence causing impingement of tendons.
- Injury/ tear of Coracoacromial Ligament.
2° Causes - Due to other external structures.
i.e -
- Trauma- micro repetitive/ strong sudden causing ms tear.
- Force Couple = Deltoid + Supraspinatus dysfunction (ms weakness)
- Lateral Rotator weakness.
- Joint capsule tightness.
- Etc.
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Rotator Cuff Injury : Ms Tear
Extent of tear varies. To check for the same, Resisted Isometrics are done-
- Minor Tear - Painful, Strong ms contraction
- Moderate Tear - Moderate pain, ROM is not complete/ weak ms contraction
- Complete Tear - No pain, No ms contraction
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CURATED BY
CURATOR'S NOTE
Every day going to clinical postings to learn more, about common orthopaedic issues. Treatment, protocols, assessments and so much more. Felt the need to make people aware of these.
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