Shoulder Rotator Cuff Tears

Shoulder anatomy

Anatomy

Description

The shoulder joint is a multi-axial joint with muscles crossing it to allow shoulder range of motion (ROM)
The rotator cuff muscles are important in allowing shoulder ROM
The rotator cuff muscles consist of Subscapularis, Supraspinatus, Infraspinatus and Teres Minor
Other important shoulder muscles that allow shoulder ROM include long head of Biceps and the Deltoid muscle

Rotator cuff tear symptoms:

Shoulder pain
Pain aggravated by overhead activities and night pain especially when sleeping on the affected shoulder

Management

Management include non operative measures or operative surgery repair where indicated
Rehabilitation include rotator cuff and pericapsular stabilizer strengthening exercises

Pendulum shoulder range of motion

Pendulum shoulder strength exercise

Shoulder strengthening with resistance band

Download ASSIC Performance Fingerprint or Strength & Conditioning apps for rehab guideline routines

Shoulder arthroscopy for torn rotator cuff tendon

Description

Shoulder arthroscopy: arthroscopic shoulder joint surgery where rotator cuff tendons are repaired/debrided ± an acromioplasty ± removal of loose fragments ± debridement.