Rotator Cuff Tendinopathy
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Search Strategy[edit | edit source]
I consulted “Pubmed” to search for clinical trials related to Rotator Cuff Tendinopathy. For that I typed in the following :
- Rotator Cuff Tendinopathy
- Rotator Cuff Tendinitis,
- Rotator Cuff Therapy,
- Shoulder Impingement,
- Rotator Cuff Tendons.
I expanded my search to “Pedro” and “Web of Knowledge” but didn’t find as much information as on “Pubmed”. I also borrowed some related anatomical books from the VUB-library and from my personal physiotherapist to get more information.
Definition/Description[edit | edit source]
Rotator Cuff Tendinopathy indicates a problem with your shoulder muscles. It can be caused by an overload of the four muscles located in that region, or an inflammation of one of the tendons. Other causes of a tendinopathy can be found in impingement of the bursa and calcification of the tendons from the rotator cuff muscles.
Clinically Relevant Anatomy[edit | edit source]
The four insertions from the (Rotator Cuff) muscles along with the M. Biceps tendon keep the caput Humeri of the Humerus locked in the cavitas glenoidalis of the Scapula allowing you to have a high mobility in your glenohumeral-joint. There are also intervening bursa within those anatomic structures who provide an extra smooth movement. [2]
Epidemiology /Etiology[edit | edit source]
It is common for people who participate in repetitive throwing sports like basketball or volleyball. Also for people who need to work a lot above shoulder height for example painters. Aging is also a factor that needs to be taking into account when we talk about Rotator Cuff problems.
Characteristics/Clinical Presentation[edit | edit source]
The symptoms or characteristics of a rotator cuff tendinopathy are pain in the area of the four rotator cuff tendons and tenderness located in the shoulder-joint with a dull character, especially when you’re reaching overhead, reaching behind your back, lifting and sleeping on the affected side. More relevant in elevation of the shoulder and abduction, unable to reach higher than 90° abduction, anteflexion of the upper arm. The ADL-activities can cause quite a bit of pain. The pain is not sudden but will gradually increase and is been there for some time. Associated with pain is the growing weakness of your shoulder and immobility to move. [1][3]
Differential Diagnosis[edit | edit source]
Shoulder pain is a common presenting problem with a number of different causes. Therefore you don’t need to confuse a Rotator Cuff problem with other problems. For example A Frozen shoulder, small fracture of the caput humerus, a rupture of the Rotator Cuff tendons, a M. biceps tendinitis, a M. biceps tendon rupture or luxation of the humerus can also cause pain in the shoulder and shoulder-joint. So it is essential to determine the difference between a rotator Cuff problem and other shoulder problems.
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