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Rotator Cuff
Rotator Cuff
Two sets of muscles are important for the stabilization of this joint in the
proper joint formation. [ help stabilize the clavicle and the scapula]
1) the trapezius: The upper trapezius muscle fibers connects the lower
base of the skull to the clavicle. The middle and lower trapezius muscle
fibers connect vertebrae in the spine to the scapula.
2) the deltoid: The anterior deltoid connects the clavicle to the humerus,
while the posterior and lateral deltoid fibers connect the scapula to the
humerus.
Trapezius
• Large superficial, flat triangular muscle of upper back. Originates on
the occipital bone of skull, ligamentum nuchae and 7 cervical and all
thoracic vertebrae and inserts onto the clavicle, acromion and spine
of the scapula.
• Supraspinatus
• Infraspinatus
• Teres Minor
• Subscapularis
– Able to use arm for most activities but unable to use the injured arm for
activities that entail lifting the arm as high or higher than the shoulder to
the front or side
Acute tear
• Acute pain from bleeding and muscle spasm (often goes away in a
few days)
• With large tears, inability to raise the arm out to the side, although
this can be done with help
Tendinitis
• Degeneration (wearing out) of the muscles
with age
– Deep ache in the shoulder also felt on the outside upper arm
– Point tenderness
– Pain comes on gradually and becomes worse with lifting the arm
to the side or turning it inward