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Follow on Google News | Shoulder Injury: Rotator Cuff, New Delhi, IndiaThe role of the rotator cuff is to stabilise the shoulder joint, a ball and socket joint allowing the arm to have a wide range of movement. There are three bones making up the shoulder region
Rotator Cuff: The role of the rotator cuff is to stabilise the shoulder joint, a ball and socket joint allowing the arm to have a wide range of movement. There are three bones making up the shoulder region: Humerus: Clavicle: Scapula: These bones meet at two joints: Acromioclavicular: Glenohumeral: The four muscles making up the rotator cuff are: Subscapularis Supraspinatus Infraspinatus Teres minor Apart from muscles supporting the shoulder joint, there are also tendons which link bone to muscle and ligaments, linking bone to bone. The rotator cuff tendon attaches to the head of the humerus and passes through the gap between the shoulder blade and the acromion. 3 Main types of Injury ROTATOR CUFF TENDONITIS Probably the most common reason for pain in the shoulder is inflammation of the rotator cuff tendons. The pain can come on quite suddenly, possibly as a result of a recent injury, for example lifting something too heavy or weights incorrectly, or from overuse, for example, too much tennis in a week or lots of overhead painting. Sometimes there are deposits of calcium on the tendons due to long standing inflammation. The pain will be most acute when you try to raise your arm above shoulder height, so reaching for something or pulling on a jumper could cause problems whereas writing or typing won’t. ROTATOR CUFF IMPINGEMENT If the tendon gets trapped in the subacromial space (mentioned above), it is referred to impingement. The tendon is repeatedly scraped against the shoulder blade leading to a fraying of the tendon, leaving it wide open to tears. Caused through wear and tear, generally, and could lead to arthritis. The pain tends to be more gradual and longstanding. ROTATOR CUFF TEAR Most likely a tear to the tendons, but could also be to one of the muscles. In the young, probably the result of a trauma; in the older person, more likely to arise from impingement. The tear could be partial or complete and the pain is mostly felt on the front and outside of the shoulder, sometimes down the arm and often accompanied by a feeling of weakness in the shoulder. Range of movement is limited. Causes Repetitive overhead motion: Swimming, tennis, painting and decorating, weightlifting Muscle imbalances: Some muscles may be stronger or weaker than others due to poor training methods or poor posture. Lifting or pulling: If the object or weight is too heavy or if the action is executed incorrectly, then injury can occur. Breaking a fall: Landing on an outstretched arm to break a fall can result in a tear or strain. Wear and tear: There is an increased risk of injury once you get over 40, simply because the tendons start to wear down and unless you are doing something to prevent it, muscles become weaker. Treatment You need a diagnosis. Your doctor may be able to define the exact problem from a discussion with you and an examination, otherwise an Xray or MRI scan may be needed. The type of treatment you require will depend on the nature of the injury, but the following may help: Rest: 48 hours of complete rest, avoiding any movements that cause you pain. Thereafter, gentle movement is encouraged to prevent stiffness or a frozen shoulder. Ice packs: Wrap a bag of ice or frozen peas in a tea towel and place against the shoulder for 10 minutes at a time to reduce inflammation. Anti inflammatory medication: Something like ibuprofen will help reduce inflammation and pain, but ensure you take as directed, usually 2 pills, 3 times a day, for 48 hour period, whilst you are resting. Exercises: Steroid injections: Your doctor may recommend an injection if the above treatment fails. Surgery: Dr.Prateek Gupta M.S., M.ch-orth(Livepool) D.Orth.(London) Consultant Orthopedics & Sports Surgeon Visit: http://www.sportsmedicineclinicdelhi.com Call at : 0091 9810052876, 011-26517776, 9810852876 For Online Appointment : http://www.sportsmedicineclinicdelhi.com/ # # # A+ sports medicine clinic is a specialized establishment looking after Orthopaedic problems and taking care of need of all in the field of sports and physical activity. Established in 2002 with view to address all the needs of people of all age group. End
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