ROTATOR CUFF TEARS

The rotator cuff is comprised of four muscles that surround the shoulder. These muscles act to move the shoulder in a number of directions. Bursitis is an inflammation of the soft tissue surrounding the rotator cuff. Impingement occurs when the rotator cuff tendons get pinched between the bones of the shoulder. As this progresses, partial thickness tears may develop in the tendon.  Finally, a full thickness tear may develop.

The diagnosis is based on physical exam and imaging studies which may include x-rays or an MRI.

Depending on the exact nature and severity of your disease, treatment may include physical therapy, anti-inflammatory medications, injections or surgery.  Surgery usually consists of arthroscopic procedures performed with cameras and tools inserted through small incisions.  Through these incisions, bone spurs can be removed, areas of inflammation can be cleaned away, and the rotator cuff can be repaired if needed.

The images below have been reprinted with permission from the American Academy of Orthopaedic Surgeons.  Click here for more information on rotator cuff tears.