Rotator Cuff Injury Management series (0/5) : Elite Athlete – Proactive Physio Knowledge

Before starts with the series quick over view of Rotator cuff muscles working. click here…

Injuries to the rotator cuff are a common across all sports and levels of competition. We also seen the same mechanisum  of injury of RC tear but the nature of injury is different.

Its broad spectrum of severity exists which ranging from Contusion and tendinopathies to tears and can be classified as either partial-thickness of full-thickness tear.

Injuries to the rotator cuff can be treated either conservatively or surgically. here are some factors which should be conside before treating RC tear.

  1. Sport & ADL                                                                                       
  2. Level of contact
  3. Positional demands
  4. Time of year

RELEVENT ANATOMY OF MUSCLES AND ITS ACTION (QUICK OVER VIEW):

  1. Supraspinatus: Abduction
  2. Infraspinatus and Teres minor: External rotators 
  3. Subscapularis: Internal rotation

A disruption or injury can affect glenohumeral joint dynamic stability and disrupt normal shoulder kinematics.

CLASSIFICATION:

Cassification of a rotator cuff tear is important to guide treatment. A tear may be classified based on size of the lesion, the number of tendons involved, and signal abnormality in the tendon on MRI. .

What RC dystruption means  ?

1) Rotator cuff inflamatory changes:*Increased signal intensity in the tendon and overlying bursa, but no tear.*Associated bone marrow edema

*Fluid collection in the subacromial/sub-deltoid region, suggestive of an acute bleed .