Thursday, April 26, 2012

Rotator Cuff Tendon Tear - Its Classification and Causes

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To understand a rotator cuff tendon tear and it's causes, it is needful to appreciate the function of a rotator cuff tendon. The cuff tendons are a group of four muscles, the individual tendons of which, work together as the "rotator cuff."

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Essentially, the cuff is a singular unit but it is made up of the tendons of four muscles.

supraspinatus infraspinatus subscapularis teres minor

The cuff has two basic functions - arm movement and shoulder stability.

Movement- The cuff muscles are comparatively small muscles whose needful role is to get the arm moving. Once in petition other larger, surrounding muscles such as the deltoid take over.

Stability- The tendons work collectively to stabilise the shoulder. They hold the humeral head of the upper arm bone and enounce it tight to the scapula (shoulder blade).

Classifications of a rotator cuff tendon tear

A tear is most often referred to by cause and size.

Size can be

full thickness tear - tendon torn straight through its whole width partial tear - tendon frayed but not torn thoroughly through large tear small tear

Cause can be classified as

Chronic - overuse injury or a gradual loss of muscle strength Acute - singular identifiable incident Mix of both - persisting degeneration followed by an acute injury

Why does a rotator cuff tendon tear?

The vast majority who suffer a tear in rotator cuff tendons are over 40 years of age. The tendons naturally lose function with age. We also come to be less active and they weaken as a consequence of being underused.

The human body, with advancing age, becomes less capable at repairing damage on a molecular level. Tendinopathy type injuries are often the result. This weakening linked injury transforms into a sequence of steady decay that leads to more and more problems.

This alone, may be adequate to cause a tear in the tendons but there is often another factor to be considered. The cuff weakens so it fails to contribute the stability required by the shoulder. The Humerus can move excessively and "ride up" from the scapula. This will cause the tendons to come to be compressed. They begin to rub against the clavicle above and over time tear as a result.

A complete tear is frequently linked with a blend the process outlined above and an acute incident. This process more often results in a partial rotator cuff tendon tear. Join me to gawk more.

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