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Rotator cuf
The rotator cuff is a group of muscles and tendons that forms underneath
and supports the glenohumeral joint. It connects the upper arm (humerus)
and the shoulder blade (scapula). The muscles allow the shoulder to rotate. It
connects to the humerus and attaches under the scapula where a cuff is
Anatomy/Physiology
Subscapularis [sub-skap-u-laris]
make up the rotator cuff. Its location is under the shoulder blade and it
reaches out to the front of the upper arm where the humerus is located. As
we can see in the diagram to the right a person experiencing muscle pain on
the underside of the shoulder blade and has difficulty rotating the joint is
most likely suffering from subscapularis muscle pain. The function of the
Considering this is the most used muscle in the shoulder, it is the muscle
Supraspinatus [supra-spi-natus]
Above the spine of the scapula. Holds the head of the humerus in
Responsible for shoulder abduction: lifting the arm in a jumping jack like
motion and pulling the humeral head towards the midline of the body like in
down the fairway. Having a proper amount of strength and endurance in this
This muscle is the main external rotator out of the four muscles that make up
the cuff. Its location is under the scapula. Not only is it responsible for
external rotation, but also for extension of the shoulder and horizontal
a day to day basis we use this muscle to perform an activity like brushing
your hair.
Long narrow muscle that aids with the external rotation of the shoulder along
with infraspinatus. As the humerus rotates laterally, it allows the teres minor
muscle to activate its range of motion. Its secondary function allows for
abduction of the arms. The location of this muscle is exterior to the scapula.
The teres minor is important because it is used to keep the humerus in its
Injuries
Common injuries with the shoulder are usually directly related to the rotator
cuff muscles. Severity of these injuries can range from a minor case of
Luckily, most injuries to the rotator cuff can be repaired or treated through
Rotator cuff tear: A tear in the tissues connecting muscle to bone tendons,
around the shoulder joint. There are two types of rotator cuff tears, partial
and full thickness tears. A partial tear is a tear that doesnt completely
severe a tendon. A full thickness tear severs the tendon into two separate
Rotator cuff tendinitis: Swelling of the tissues that connect the muscle and
bones in the shoulder. The tendons in this area are irritated or inflamed,
resulting in a dull ache or stiffness. Usually occurs when there is overuse of
Rotator cuff impingement: The acromion, a bone in the shoulder area, can
inflammation. Whenever you raise your arm above your shoulder, the space
between the acromion and the rotator cuff begins to narrow, so excessive
Frozen shoulder: A stiffness and pain in the shoulder joint caused by the
shoulder capsule thickening and becoming tight. Stiff tissue bands begin to
develop which limits the amount of synovial fluid in the joint, making it
Treatment
There are different treatment options available for injuries dealing with the
rotator cuff, all depending on the type of injury sustained. If there has been a
tear in the rotator cuff, an arthroscopic surgery may be the best option. In
this procedure, a small camera and tools are inserted through incisions to
reattach the tendon to the bone. An open tendon repair surgery may be
another option. Your surgeon will work through a larger incision to reattach
the damaged tendon to the bone. Open tendon repairs typically have a
longer recovery time than that seen with more minimally invasive
physical therapy exercises can help by regaining lost strength and flexibility
A steroid injection into your shoulder joint is a viable option, especially if the
References
What is the Teres Minor? (n.d.). Retrieved February 16, 2017, from
http://www.wisegeekhealth.com/what-is-the-teres-minor.htm