anatomy - aaos - orthoinfo（解剖学- aaos orthoinfo）.pdf

.org Rotator Cuff Tears Page ( 1 ) A rotator cuff tear is a common cause of pain and disability among adults. In 2008, close to 2 million people in the United States went to their doctors because of a rotator cuff problem. A torn rotator cuff will weaken your shoulder. This means that many daily activities, like combing your hair or getting dressed, may become painful and difficult to do. Anatomy Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). The shoulder is a ball-and- socket joint: The ball, or head, of your upper arm bone fi ts into a shallow socket in your shoulder blade. Your arm is kept in your shoulder socket by your rotator cuff . The rotator cuff is a network of four muscles that come together as tendons to form a covering around the head of the humerus. The rotator cuff attaches the humerus to the shoulder blade and helps to li and rotate your arm. There is a lubricating sac called a bursa between the rotator cuff and the bone on top of your shoulder (acromion). The bursa allows the rotator cuff tendons to Normal anatomy of the shoulder. glide freely when you move your arm. When the rotator cuff tendons are injured or damaged, this bursa can also become infl amed and painful. Description When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. Most tears occur in the supraspinatus muscle and tendon, but other parts of the rotator cuff may also be involved. In many cases, torn tendons begin by fraying. As the damage progresses, the tendon can completely tear, sometimes with li ing a heavy object. There are diff erent types of tears. This illustration more clearly