Rotator Cuff Tendinopathy is a condition that affects the rotator cuff, a group of four muscles and their tendons responsible for stabilizing the shoulder and allowing various arm movements. The involved muscles include the supraspinatus, infraspinatus, teres minor, and subscapularis, which collectively enhance shoulder stability by pulling the humeral head into the glenoid cavity.
This condition can involve a spectrum of tendon pathologies, from tendinitis to full thickness tears. Pathophysiological changes may arise due to micro-trauma and aging, with degenerative processes termed tendinosis becoming increasingly common. Overhead activities can exacerbate tendon degeneration, while tears may develop acutely or gradually, depending on activity levels and trauma.
Common symptoms include shoulder pain, primarily located at the anterior or lateral aspect, which worsens during overhead activities and at night. Patients may also experience weakness and restricted range of motion. Diagnosis is made through clinical evaluation and physical exams, utilizing tests such as the empty can test or tests for impingement. Imaging like X-rays, ultrasounds, or MRIs may be utilized when necessary.
Management strategies range from conservative approaches, including rest and physical therapy, to surgical interventions based on symptom severity and functional impairment. Key links for further learning include:
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Note: This content is for educational purposes only and should not substitute for professional medical advice.
By Rhesus Medicine