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Rotator cuff disorders

J A Rodgers1, L A Crosby

  • 1Creighton-Nebraska Health Foundation, Omaha, USA.

American Family Physician
|July 1, 1996
PubMed
Summary
This summary is machine-generated.

Rotator cuff injuries involve pain and weakness due to damage to the shoulder

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Anatomy

Background:

  • The rotator cuff, comprising supraspinatus, infraspinatus, teres minor, and subscapularis muscles, is crucial for shoulder joint dynamic stability.
  • Rotator cuff injuries manifest as limited motion, weakness, and radiating pain, often exacerbated at night.

Purpose of the Study:

  • To outline the clinical presentation and diagnostic findings of rotator cuff injuries.
  • To discuss the management strategies for subacromial impingement.

Main Methods:

  • Clinical examination assessing for atrophy, tenderness, range of motion, and muscle strength.
  • Radiographic evaluation including X-rays to identify degenerative changes and calcific deposits.
  • Assessment of treatment response to conservative management over 6-12 weeks.

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Main Results:

  • Physical examination may reveal rotator cuff atrophy, tenderness, and weakness in abduction and external rotation.
  • Radiographs can show acromial or AC joint degeneration, greater tuberosity spurs, and calcific deposits.
  • Conservative treatment (physical therapy, NSAIDs, injections) is effective for most subacromial impingement cases.

Conclusions:

  • Early diagnosis and conservative management are key for rotator cuff injuries and subacromial impingement.
  • Failure of conservative therapy necessitates further imaging (MRI, arthrography) and surgical consideration.