81. MedlinePlus Medical Encyclopedia: Rotator Cuff Tendinitis Chronic inflammation or injury can cause the tendons of the rotator cuff to tear.The risk factors are being over age 40 and participation in sports or http://www.nlm.nih.gov/medlineplus/ency/article/000438.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Rotator cuff tendinitis Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Inflamed shoulder tendons Alternative names Return to top Swimmer's shoulder; Pitcher's shoulder; Shoulder impingement syndrome; Tennis shoulder Definition Return to top Rotator cuff tendinitis is an inflammation (irritation and swelling) of the tendons of the shoulder. Causes, incidence, and risk factors Return to top The shoulder joint is a ball and socket type joint where the top part of the arm bone (humerus) forms a joint with the shoulder blade (scapula). The rotator cuff holds the head of the humerus into the scapula. Inflammation of the tendons of the shoulder muscles can occur in sports requiring the arm to be moved over the head repeatedly as in tennis, baseball (particularly pitching), swimming, and lifting weights over the head. Chronic inflammation or injury can cause the tendons of the rotator cuff to tear.

82. Rotator Cuff Tear Unfortunately, the rotator cuff muscles are also prone to injury from impingement, rotator cuff tears are a common injury associated with impingement. http://meded.ucsd.edu/isp/2005/orthopedic/Shoulder Disorders/rotator_cuff_tear.h

Rotator Cuff Injury The four rotator cuff muscles of the shoulder are the supraspinatus, infraspinatus, teres minor, and subscapularis. These muscles function to stabilize the shoulder and assist in initiating movement in multiple directions. Because the shoulder is such an unstable joint, the rotator cuff muscles are extremely important for preventing dislocation . Unfortunately, the rotator cuff muscles are also prone to injury from impingement , degeneration, and excessive athletic activity. Rotator Cuff Tendinitis Rotator cuff tendonitis is frequently a result of impingement , and presents as impingement syndrome . The muscle most often involved is the supraspinatus, at the tendinous part that passes under the acromion. Like many disorders that present as impingement , range of motion is limited by pain, and patients generally have mild weakness of the rotator cuff muscles. Classically, patients will have a positive Neer test on examination that resolves with injection of lidocaine. When the pain is caused by supraspinatus impingement, the " empty beer cans " test will be positive. Other tests for rotator cuff pathology include the "

83. Rotator Cuff - Injury - Medical Illustration rotator cuff injury. rotator cuff Repair - injury - si55550265 StockIllustration Add to my lightbox Find More Like This http://catalog.nucleusinc.com/generateexhibit.php?ID=3641&ExhibitKeywordsRaw=&TL

84. Rotator Cuff Tears About Sports Injuries Shoulder Injuries rotator cuff The rotator cuff cantear as an acute injury such as when lifting a heavy weight or falling on http://www.massgeneral.org/ortho/RotatorCuffTears.htm

Sports Medicine Service About Sports Injuries: Shoulder Injuries: Rotator Cuff ANATOMY AND FUNCTION The shoulder joint is a ball and socket joint that connects the bone of the upper arm (humerus) with the shoulder blade (scapula). The capsule is a broad ligament that surrounds and stabilizes the joint. The shoulder joint is moved and also stabilized by the rotator cuff. The rotator cuff is comprised of four muscles and their tendons that attach from the scapula to the humerus. The rotator cuff tendons (supraspinatus, infraspinatus, teres minor and subscapularis) are just outside the shoulder joint and its capsule. The muscles of the rotator cuff help stabilize the shoulder and enable you to lift your arm, reach overhead, and take part in activities such as throwing, swimming and tennis. ROTATOR CUFF INJURY AND TREATMENT OPTIONS The rotator cuff can tear as an acute injury such as when lifting a heavy weight or falling on the shoulder or elbow. The shoulder is immediately weak and there is pain when trying to lift the arm. A torn rotator cuff due to an injury is usually best treated by immediate surgical repair. The rotator cuff can also wear out as a result of degenerative changes. This type of rotator cuff tear can usually be repaired but sometimes the tear may not need to be repaired and sometimes cannot be repaired. However, if the tear is causing significant pain and disability, surgery may be the best treatment to relieve pain and improve shoulder function.

85. THE MERCK MANUAL, Sec. 5, Ch. 62, Common Sports Injuries To palpate the rotator cuff, abduct the arm backward and away from the body ininternal Surgery may be necessary if the injury is particularly severe, http://www.merck.com/mrkshared/mmanual/section5/chapter62/62l.jsp

86. Bodybuilding.com - Dorian Kent - Rotator Cuff. Injury Prevention And Re-habilita Your rotator cuff may be holding you back from gaining new size and strength,especially on exercises like the bench press. Learn how to fix this! http://www.bodybuilding.com/fun/dorian1.htm

Advanced Search Articles Home Main Page Brand Listing ... Printable Page Did you know? Tips for best results:Commit to the program. Maintain consistent exercise habits. Don't overdo it. Set attainable goals. Keep a progress chart. Main Articles Training Rotator Cuff. Injury Prevention And Re-habilitation! Your rotator cuff may be holding you back from gaining new size and strength, especially on exercises like the bench press. Learn how to fix this! By: Dorian Kent Common Neglected Muscles C an't get any bigger or stronger? You may be neglecting some important exercises. T The Rotator Cuff The Rotator Cuff Click to Enlarge! T he rotator cuff (or Infraspinatus), is basically involved in a major way when it comes to benching. Have you ever noticed your shoulder area seems to hurt at times before you come to failure? Most of the time this is due to a weak rotator. This could also be said for a lot of other exercises too. This is due to the fact that the rotator really works hard during a lot of different movements you make. Now the rotator cuff is a part of the shoulder. It is a group of tendons that attach together and surround the top, the rear and the front of the shoulder. It actually surrounds it like a cuff on a shirt sleeve will surround your wrist. These tendons are individually connected to short muscles that originate from the scapula (shoulder blades). When these muscles contract they pull on the rotator cuff tendon, causing the shoulder to rotate. This pull causes the shoulder to rotate upward, inward or downward, this is why it's called the rotator cuff.

87. Rotator Cuff Injuries And Treatment The rotator cuff is a confluence of tendons that insert on the superior lateralaspect of the upper arm. The tendons are what permit the shoulder muscles http://www.stoneclinic.com/rotator_cuff.htm

Clinic Information Patient Information Forms Appointments About Us ... Recent Papers Treatment and Research Knee Shoulder Ankle Back ... Rehabilitation Programs Sports and Fitness Nutrition Glucosamine Sports Athletes Advisory Board ... Home Rotator Cuff Injuries and Treatment by Kevin R. Stone, M.D.; The Stone Clinic and The Stone Foundation, with Special Interest in Advanced Research and Techniques for Shoulder Surgery "Doc, a few months ago I fell onto my shoulder. Since then, it aches when I lift my arms over head, sometimes awakens me from sleep, and just doesn't feel as strong as it used-to." The symptoms described, especially in the 40 to 80 year old person, are those of a rotator cuff injury. What the patient needs to know:"is the rotator cuff torn or just inflamed?" The rotator cuff is a confluence of tendons that insert on the superior lateral aspect of the upper arm. The tendons are what permit the shoulder muscles (subscapularis, supraspinatus, infraspinatus, teres minor) to attach to bone, and therefore raise and lower the arm, and rotate it in and out. The tendons are broad, measuring approximately 5 centimeters in width, and form a cuff encapsulating the articular surface of the top of the humerus. The rotator cuff runs under a bony and ligamentous arch formed by the acromion,(the bone felt when you put your left hand on top of your right shoulder) and is bordered by the acromioclavicular ligament, the coracoid (the bone in front of the shoulder), the acromioclavicular joint (where the clavicle joins the acromion. The rotator cuff muscles are the subscapularis anteriorly, the supraspinatus superiorly, and the infraspinatus and teres minor posteriorly.

88. Postgraduate Medicine: Patient Notes: Rotator Cuff Injuries We hear a lot about rotator cuff injuries in athletes, rotator cuff injuriesare common in older adults and people whose jobs or hobbies involve http://www.postgradmed.com/issues/1998/07_98/pn_cuff.htm

Patient Notes Rotator cuff injuries Download this Patient Note in PDF format VOL 104 / NO 7 / JULY 1998 / POSTGRADUATE MEDICINE When it comes to joint flexibility, the shoulders win hands downand hands up, hands behind your back, wherever you choose to reach. But the shoulder's outstanding range of motion also sets it up for wear, tear, and injury. If you have had a sore shoulder, you know how painful it can be to do something as simple as putting on your coat. How does this joint work, anyway? The shoulder is held together by four muscles and their attached tendons, which form a structure called the rotator cuff. The muscles connect the upper arm bone (humerus) to the shoulder blade and hold the ball of the humerus firmly in the shoulder socket. We hear a lot about rotator cuff injuries in athletes, especially baseball pitchers, tennis players, and swimmers, but actually everyone is at risk. Rotator cuff injuries are common in older adults and people whose jobs or hobbies involve overhead lifting or reaching, such as carpenters and painters. Fortunately, most rotator cuff injuries can be treated with exercise and simple pain-relief measures. Very few injuries require surgery. What are the most common types of injury?

89. EMedicine - Rotator Cuff Injuries : Article By Eileen C Quintana, MD, MPH rotator cuff Injuries rotator cuff injuries are problems commonly encounteredin athletic and nonathletic patients. Symptoms include pain, weakness, http://www.emedicine.com/emerg/topic512.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Emergency Medicine Trauma And Orthopedics Rotator Cuff Injuries Last Updated: March 9, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: rotator cuff tears, shoulder pain, rotator cuff dysfunction, rotator cuff disease, glenohumeral instability, impingement syndrome AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Eileen C Quintana, MD, MPH , Assistant Professor, Department of Emergency Medicine and Pediatrics, Drexel University College of Medicine, Medical College of Pennsylvania, Coauthor(s): Richard Sinert, DO , Associate Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, State University of New York College of Medicine; Consulting Staff, Department of Emergency Medicine, Kings County Hospital Center Eileen C Quintana, MD, MPH, is a member of the following medical societies: American College of Emergency Physicians , and Society for Academic Emergency Medicine Editor(s): Joseph A Salomone III, MD

90. ROTATOR CUFF INJURIES Fitness, sports and exercise how to get the most out of your exercise program;a section of DrMirkin.com. http://www.drmirkin.com/fitness/F231.html

ROTATOR CUFF INJURIES Gabe Mirkin, M.D. The rotator cuff muscles hold the head of the long bone of your upper arm tightly in the socket of your shoulder. Sports that require moving the arm over the head repeatedly can cause tearing and swelling of the tendons of these muscles. Baseball pitchers, swimmers, weight lifters and tennis players often suffer this injury. Chronic irritation can cause pain, swelling and tearing of the rotator cuff. If you continue to exercise in spite of the pain, you will tear the tendons from their attachments. Initially, pain occurs only when you hold your arm over your head and bring it down or forward forcibly. Later, it will hurt when the arm is moved forward for any reason, such as to shake hands. Usually, it hurts when you push things away and does not hurt when you pull objects toward you. A torn rotator cuff will cause tenderness over the tendons, especially when the elbow is raised above the shoulder. It will hurt when you pull your arm across your chest, and you will have difficulty raising your elbow over your shoulder. An arthrogram is often not sensitive enough to diagnose a partial tear of the rotator cuff but can show a complete tear. The treatment is to avoid any motion that hurts and strengthen the uninjured shoulder muscles. Do weight-lifting exercises that bring the weights toward the body and do not hurt, such as upright rows and downward "lat pulls". You may need surgery if the rotator cuff tendons are torn completely, or if the tendons do not heal within one year.

91. Spotlight On Rotator Cuff Injuries Defines the rotator cuff and summarizes acute and chronic injuries. http://www.healthatoz.com/healthatoz/Atoz/dc/cen/pain/alert06242005.jsp

92. Rotator Cuff Injuries - DynoMed.com Many people with rotator cuff injuries complain of not being able to sleep on the Typical surgery for rotator cuff injuries involves making a 45 inch http://www.dynomed.com/encyclopedia/encyclopedia/shoulder/Rotator_Cuff_Injuries.

Return Records Rotator Cuff Injuries Causes Symptoms Treatment What are Rotator Cuff injuries? The tendons of four muscles in the upper arm form the rotator cuff, blending together to help stabilize the shoulder.  Tendons attach muscles to bone and are the mechanisms that enable muscles to move bones.  It is because of the rotator cuff tendons, which connect the long bone of the arm (the humerus ) to the scapula (the shoulder blade) that we can raise and rotate our arms.  The rotator cuff also keeps the humerus tightly in the socket ( glenoid ) when the arm is raised.  The tough fibers of the rotator cuff bend as the shoulder changes position. For normal shoulder function, each muscle must be healthy, securely attached, coordinated, and conditioned.  When there are full or partial tears to the rotator cuff tendons, movement of the arm up or away from the body is impaired, making it difficult or impossible to rotate the arm in its ball-and-socket joint. Causes of Rotator Cuff Injuries?

93. UpToDate Patient Information: Physical Therapy For Rotator Cuff Injuries Patient information Physical therapy for rotator cuff injuries. Bruce C Anderson,MD Oregon Health Sciences University, Portland http://patients.uptodate.com/topic.asp?file=bone_joi/8115

94. Rotator Cuff Blues In Baseball And Softball there is an increased risk of developing shoulder rotator cuff injuries.Over the last three years I have suffered two rotator cuff injuries myself http://www.semisportmed.com/Newslett/Sept98/09-98-P1.htm

Rotator Cuff Blues in Baseball and Softball Ron Herman B PHE, BSc, PT Physiotherapist It is coming to the end of the 1998 baseball season with the provincial tourney's left in September and most league playoffs coming to a close. At this time of year, when the weather begins to get colder, and we become less adamant about our pre-game warm-ups, there is an increased risk of developing shoulder rotator cuff injuries. Over the last three years I have suffered two rotator cuff injuries myself playing in the September playoffs. Fortunately, I have been able to rehabilitate the injuries to where I'm back to 100% this season. The rotator cuff consists of four muscles that attach the shoulder blade (scapula) to the arm (humerus) to form a "ball and socket" type joint. The four muscles (supraspinatus, infraspinatus, subscapularis and teres minor) function to keep this highly mobile joint stable and generate the rotational forces used in throwing. Injuries to the rotator cuff and/or bursae (a fluid filled sac that lubricates the cuff tendons ) are very common in throwing sports. They are usually caused by inadequate warm-ups, poor throwing technique, deficient muscular strength and poor posture. As a result, muscle fibers of the cuff can be strained or torn. Pain is usually felt down the shoulder (deltoid area) and can travel down the arm. It is reproduced by lifting the arm above the shoulder level as is done with throwing. In more serious injuries of the rotator cuff, partial or complete tears of its fibres may result; occasionally, these injuries may require surgery.

95. Rotator Cuff, UPMC Sports Medicine, UPMC | University Of Pittsburgh Medical Cent rotator cuff injuries can be caused by a direct blow to the shoulder or by These types of injuries can cause the rotator cuff to tear or develop http://sportsmedicine.upmc.com/InjuriesRotatorCuff.htm

Rotator Cuff var ppb = " What is a rotator cuff injury? How do rotator cuff injuries develop? How do I prevent a rotator cuff injury? Improving sports performance ... Rotator cuff injury rehabilitation for athletes How do rotator cuff injuries develop? Rotator cuff injuries can be caused by a direct blow to the shoulder or by excessive rubbing of the rotator cuff and the top part of your shoulder blade (called the acromion). These types of injuries can cause the rotator cuff to tear or develop impingement syndrome. Participating in sports that require excessive overhead motion can cause impingement problems. If you do not seek medical care for the inflammation in your shoulder, it could eventually lead to a more serious injury. Shoulder impingement involves one or a combination of problems, including inflammation of the lubricating sac (bursa) located just over the rotator cuff, a condition called bursitis; inflammation of the rotator cuff tendons, called tendinitis; and calcium deposits in tendons caused by wear and tear or injury. A torn rotator cuff is also a potential outcome of shoulder impingement.

96. MedlinePlus: Shoulder Injuries And Disorders Overviews; rotator cuff Injuries Interactive Tutorial (Patient Education Avoid rotator cuff Injuries (Mayo Foundation for Medical Education and Research http://www.nlm.nih.gov/medlineplus/shoulderinjuriesanddisorders.html

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Other health topics: A B C D ... List of All Topics Shoulder Injuries and Disorders Contents of this page: From the NIH Overviews Diagnosis/Symptoms Treatment ... Organizations Search MEDLINE/PubMed for recent research articles on Shoulder Injuries and Disorders You may also be interested in these MedlinePlus related pages: Hand Injuries and Disorders Thoracic Outlet Syndrome Bones, Joints and Muscles Injuries and Wounds From the National Institutes of Health Questions and Answers about Shoulder Problems (National Institute of Arthritis and Musculoskeletal and Skin Diseases) Overviews Rotator Cuff Injuries (Patient Education Institute) - Requires Flash Player Also available in: Spanish Shoulder (American Academy of Orthopaedic Surgeons) Shoulder Pain (American Academy of Family Physicians) Diagnosis/Symptoms Arthrography: (Joint X-Ray) (American College of Radiology, Radiological Society of North America) MR Imaging (MRI): Musculoskeletal (American College of Radiology, Radiological Society of North America) Shoulder Arthroscopy (Patient Education Institute) - Requires Flash Player Also available in: Spanish Shoulder Problems (American Academy of Family Physicians) Ultrasound: Musculoskeletal (American College of Radiology, Radiological Society of North America)

97. Rotator Cuff rotator cuff injuries are among the most common and painful shoulderrelatedinjuries in adults, especially in people who exercise a lot. http://www.dhmc.org/ortho/Shoulder/rotator_cuff.html

Home Contact us Site index Search: Find a Doctor Health Information Quality Reports Jobs ... Orthopaedic Surgery Related Services Spine Center Other Orthopaedic Specialties For Professionals Research Referrals Continuing Medical Education Resident Program ... Graduate Medical Education Go back to... Previous Page Orthopaedic Surgery DHMC Home Orthopaedic Surgery Rotator Cuff Injuries Alternative names: Rotator Cuff Impingement, Bursitis, Tendonitis, Tennis Shoulder, Partial or Complete Tear of the Rotator Cuff What is a rotator cuff injury? What are the signs of rotator cuff injury? What causes a rotator cuff injury? How does my doctor tell if I have a rotator cuff injury? ... How is a rotator cuff injury treated? What is a rotator cuff injury? Rotator cuff injuries are among the most common and painful shoulder-related injuries in adults, especially in people who exercise a lot. The rotator cuff (or musculotendinous cuff) in the shoulder is made up of tendons and muscles covering the shoulder joint. The rotator cuff helps to keep the shoulder in place and also works to lift and move the shoulder. What are the signs of rotator cuff injury?

98. Understanding Injuries The Rotator Cuff A laymans guide to injuries. Our first topic is the rotator cuff. http://www.athomeplate.com/rotator.shtml

At Home Plate Home Main Archive Fantasy Archive Forums ... Reviews Understanding Injuries #1: The Rotator Cuff Understanding Injuries: The Rotator Cuff by Jonathan Leshanski May 14, 2003 We hear about them all the time but do we as fans really understand what an injury is when we hear about it? This column is designed to give the layman some idea of what it means to have a certain type of injury, as well as what can be done about it, for it, and what it means for an athlete's career. Rotator Cuff Injuries Some players currently suffering from rotator cuff injuries: Robb Nen, Orlando Hernandez, Tony Armas Jr., Bobby Seay, Ismael Valdes, Dave Veres, Steve Karsay, Chris Richard and Trevor Hoffman What is the rotator cuff? The rotator cuff is a group of interrelated muscles and tendons that hold the head of the humerus (the long bone which runs from elbow to shoulder) in the socket of the shoulder blade. There are four basic types of rotator cuff injuries.

99. Rotator Cuff Exercises, Exercise rotator cuff exercise program to prevent injuryincreases strength and flexibilityin rotator cuff and shoulder stabilizing muscles. http://www.simplefitnesssolutions.com/products/shoulderkit.htm

Rotator Cuff FitKit Rotator Cuff Exercises - This rotator cuff exercise program is designed to ensure optimal shoulder function by increasing strength and flexibility in the muscles of the shoulder joint and shoulder blade. Performing these rotator cuff exercises will help increase performance and reduce the risk of injury for many sports including golf, swimming, volleyball, racquet sports and throwing sports such as baseball and softball. These exercises are also helpful for daily activities such as reaching overhead, which place strain on the rotator cuff muscles. Rather than worrying about what treatment to use after you get injured, this exercise program will help prevent rotator cuff injuries from occurring in the first place. U nconditioned, imbalanced muscles of the shoulder area can cause rotator cuff injuries. As the rotator cuff fatigues from excessive use, weakness, or lack of endurance, the ball of the shoulder joint becomes more mobile and moves upward. This causes the rotator cuff tendons to come in contact with bone, which can lead to irritation of the tendon, then inflammation and pain, then ultimately an injury (shoulder tendinitis, bursitis, impingement, etc.).

100. Rotator Cuff Injuries And Golfers The rotator cuff muscles are crucial to the golf swing, yet many golfers areunaware of their function and therefore neglect their conditioning. http://www.simplefitnesssolutions.com/articles/rotator_cuff_injury_golf.htm

Rotator Cuff Injuries and the Golfer by Deborah L. Mullen, CSCS What is the "rotator cuff" and why is it so important? The shoulder is the most flexible, as well as the least stable, joint in the body (great range of motion comes at a price). Unlike the hip joint with its ball-and-socket design, the shoulder socket is a shallow saucer. While this allows for flexibility, the saucer doesn’t hold the ball of the joint as firmly as the hip socket. In addition, the shoulder joint’s ligaments are relatively weak. This means that stability must come from muscles and tendons that run across the joint. These 4 muscles are collectively called "the rotator cuff." What role does the rotator cuff play in golf? Along with stabilizing the head of the upper arm bone into its socket, the rotator cuff has other functions crucial to the golf swing. It was once thought that the deltoid muscles (thick muscles that cover the shoulder) were the primarily responsible for the power behind the golf swing. From research that measures muscle activity during the swing, we now know that the rotator cuff muscles are a major force, while the deltoids are relatively inactive. By stabilizing the shoulder girdle as well as turning the shoulder and arms, the rotator cuff provides power and control in the golf swing. What are common rotator cuff injuries for golfers?

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