Rotator cuff or supraspinatus tendon

Written by: Dr. José Carlos Valdés Casas
Edited by: Top Doctors®


What is the rotator cuff?

rotator cuff The rotator cuff is a group of four tendons that surround the humeral head like a cap.

The supraspinatus tendon is the top that slides under the acromion and is injured more often. The subacromial bursa is a sac of soft tissue synovial fluid. This bursa serves to improve the sliding of the tendon below the acromion raising the bow arm.


How is a rotator cuff tear occurs?

A break can occur as a result of a traumatic episode or develop gradually. Patients whose onset is gradual usually have previous symptoms of tendinitis by clamping. The tendon degeneration caused by age also causes breakage.

rotator cuff tear Such ruptures can be partial (not completely divide the tendon) and total (with full section of the tendon). The total breaks may be small and affect only a tendon, or very broad covering several tendons.


What symptoms caused by the rupture of the supraspinatus tendon?

Symptoms vary widely and depend on the type of break. If the tear is extensive, the patient will have pain and inability to raise the arm. In other breaks, the patient will have pain, some crunch and reduced its strength, but it can lift the arm without difficulty. In some elderly patients, tendon rupture will not cause symptoms and the patient does not know who suffers a break in this area.

As far as diagnosis is concerned, this is clinical. However, in most cases it can be confirmed by ultrasound or MRI


How supraspinatus tendon ruptures treated?

Given the existence of very different situations you will require individualized treatment depending on the patient's needs and the type of fracture.

A greater and inactive patient will recommend conservative treatment similar to tendinitis. It is also possible that this person has a severe loss of the rotator cuff, inability to raise the arm, and that does not improve with conservative treatment. In this case, the professionals in Traumatology will advise placing inverted total shoulder prosthesis. If the case of a young and active patient with a traumatic rupture occurs, this will require a repair urgently. Intervention should be specified so arthroscopic making small incisions.

shoulder arthroscopyrotator cuff tearsuture rotator cuffrotator cuff

*Translated with Google translator. We apologize for any imperfection

By Dr. José Carlos Valdés Casas
Orthopaedic Surgery

Dr. Jose Carlos Valdes Casas has for years full to shoulder pathology in all its facets, sporting and rheumatic, degenerative or traumatic dedication. For treatment uses both arthroscopy and open surgery classical and conservative treatment, as a function of the needs of each patient. For many years a member of the European Society of surgery of shoulder and elbow.

*Translated with Google translator. We apologize for any imperfection

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