Rotator cuff problems vary from injury to tendinopathy to partial/complete tears. Age plays a significant role (from 9.7% in those less than 20 yrs, increasing to 62% in patients greater than 80). Increasing age and those with unilateral #shoulderpain are also at risk for #rotatorcufftears of the opposite shoulder
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Rotator Cuff Shoulder Anatomy
The shoulder is a ball and socket joint that sacrifices stability for mobility. The glenoid (shoulder socket) is a shallow rim. The #rotatorcuff consists of (4) muscles originating on the scapula and inserting to the superior humeral (upper arm bone) head to improve stability. The subscapularis inserts on the lesser tubercle of the humerus, and it functions as an internal rotator. The supraspinatus muscles insert onto the greater tubercle of the humerus with its function as an abductor for initial abduction. The infraspinatus also inserts onto the greater tubercle, inferior to the supraspinatus, and functions as an external rotator. The teres minor inserts inferior to the infraspinatus on the greater tuberosity and also functions as an external rotator. They all work as stabilizers of the glenohumeral joint.
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Arthroscopic Rotator Cuff Repair (ARCR)
Over the past 30 yrs, #arthroscopic rotator cuff repair has become the gold standard in treating rotator cuff pathology. Procedural concepts of ARCR continue to improve
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