肩袖撕裂（Rotator cuff tear）.doc

肩袖撕裂（Rotator cuff tear） Rotator cuff tear (1): Overview The whole network released: 2011-06-29 09:06 published: Huaying (visits: 1475) exchange Rotator cuff tears are common causes of shoulder pain, movement limitation, and dysfunction. Rotator cuff tear will lead to the quality of daily life shoulder symptoms and a range of effects, such as shoulder pain, especially at night so that the pain can not sleep; not hair; female patients not detachable bra etc.. Statistics in 2008 showed that nearly 2000000 people in the United States were treated for rotator cuff disease. Shanghai Huashan Hospital of sports medicine KELONG exchange anatomy To understand the rotator cuff tear, the first step is to understand the anatomy of the rotator cuff. The shoulder consists of 3 bones: the upper arm (humerus), the shoulder blade and the clavicle. The shoulder joint is a ball - socket joint: the upper arms ball, or the head and shoulder bones nest match. The rotator cuff is the structure that maintains the right arm position in the glenoid fossa. The rotator cuff consists of 4 parts, all of which become tendinous parts at the distal end of the rotator cuff and are attached to the humeral head (Fig. 1). Under the action of the rotator cuff, the shoulder joint can be raised and rotated. A lubricating tissue (bursa) is present between the rotator cuff and the shoulder bone (shoulder), allowing the rotator cuff to move freely when the shoulder joint is active. When rotator cuff injuries occur, the bursa can produce inflammation and cause pain. Fig. 1 anatomical sketch of rotator cuff Pathogeny There are two main causes of rotator cuff tears: injury and degeneration. In many cases, two factors exist simultaneously, causing common diseases. I. injury: if the arm straightens, falls or lifts the weight very quickly, it may lead to rotator cuff tears. This injury may be accompanied by other shoulder injuries such as shoulder dislocation. Two. Degeneration: most of the tear is the result of ro