MRI of the right shoulder performed on 07/19/16 showed subacromial bursitis and supraspinatus at the myotendinous junction. There is fluid seen in the subacromial bursa compatible with bursitis. There is type 2 acromial slant rendering the patient with moderate anatomical risk for impingement.…
MRI of the right shoulder performed on 09/08/15 revealed supraspinatus tendinosis and slightly low lying acromion process without evidence of rotator cuff impingement.…
10. Name the four rotator cuff muscles. What is their function? Supraspinatus, Infraspinatus, Teres minor, Subscapularis muscles. They stabilize glenohumeral joint by holding humeral head in glenoid cavity.…
I chose the rotator cuff because it is a very important set of muscles that lets us move our shoulders and do many day to day things. The rotator cuff is a group of four muscles and tendons that attach to the bones of the shoulder joint, which allows the shoulder to move and also keep it stable. The four muscles that make up the rotator cuff are the Supraspinatus, Infraspinatus, Teres Minor, and the Subscapularis. These hold the head of the humerus into the scalpula. Injuries to the rotator cuff are very common.…
Rotator cuff tears can happen acutely as a result of falling on an out stretched hand or lifting something above the head. Chronic tears may also occur; this entails…
* How: repetitive stress(that causes interstitial tearing, and inflammation), overuse of flexors or overload activities…
It's one of the darkest fears of pitchers, tennis players, and many other athletes: a rotator cuff tear. If it is severe, a rotator cuff tear can end a player's career. So what is it, exactly? The rotator cuff is a group of four tendons and muscles that converge around the shoulder joint at the top of the humerus, the upper arm bone above the elbow. Together, they form a ''cuff'' that both holds your arm in place and allows it to move in different directions. While your shoulder is one of your most mobile joints, it's also somewhat weak. Too much stress -- or too many fastballs -- can cause partial tears and swelling in the tendons of the rotator cuff. Abrupt stress may even cause one of the tendons to pull away from the bone or tear in the…
The ACL also known as the anterior cruciate ligament is one of the four major ligaments in the knee that allows stability (about.com). ACL tears are most common in athletes and especially in female athletes. There are many ways to tear your ACL, whether it is with contact or no contact. There are also minimal symptoms for an ACL tear but they are very important to look for when an athlete is complaining about knee pain. The treatments for this injury also depend on the severity of the tear. The severity could determine if surgery is needed. These are all important things to know when you are in a situation with a person that has torn their ACL. Tearing your ACL can come at the snap of a finger, and that is what makes it scary for…
The most common causes for this injury include repetitive overuse such as swimming, basketball, tennis, and baseball, trauma, an abnormally shaped acromion, or shoulder instability. Other abnormal or rare causes would be subacromial bursitis or acromiclavicular arthritis. These injuries are more common in men than in women and they are uncommon in individuals under the age of 20. Individuals that play sports are more apt than others to injure their rotator cuffs because they are constantly moving and putting strain on those muscles. This is one of those injuries that an athlete does not want to hear that they have. Non athletic individuals tend to recover better because they do not use those muscles in such a rough manner, but for an athlete to get the full range of motion back to say, throw a football or pitch in a major league baseball game, it takes a year of therapy before they can even begin to train again. Rotator cuff repair is not a guarantee for an athlete to return to their sport though. “In 2006, Dr. James Andrews published the results of a study that showed that only one of the twelve professional baseball pitchers on whom he had performed a repair of a full-thickness rotator cuff tear actually returned to play at a high level.” (Geier, 2012) Most athletes, and also non-athletes will choose to try non-surgical methods of treatment before electing to have the surgery to repair their rotator…
Treatment for supraspinatus tendonitis involves three phases of physical therapy: the acute phase, recovery phase, and maintenance phase. During the acute phase, relieving pain and inflammation by resting and avoiding all activities that make the situation worst is important. At the same time, this is also the phase where you perform a range of motion exercises to strengthen your muscular function. An example of a range of motion exercise is pendulum exercises, which is where you lean over with your good arm supported by a table or chair, relaxing your painful arm by hanging it straight down then you slowly swing the arm that is hanging down. During the recovery phase, is when you work to regain your all your movements without any difficulty by performing active exercises such as pushups. During the maintenance phase, all you have to do is continue exercising and maintaining a strong muscular endurance so that supraspinatus tendonitis does not occur again. If physical therapy involving those three phrases does not work after three months, your doctor might offer to injection of steroids into your shoulder joint to help relieve inflammation. If steroids injection does not work either, arthroscopic surgery to repair your injury is recommended. Usually sixty to ninety percent of people who…
Some common efforts are resting, icing, and arm rehabilitation. If these efforts are unsuccessful, surgery will be necessary to return to a competitive level (Erickson). UCL injuries requiring surgery are often caused by overuse and bad mechanics. With overuse occurring often in many adolescents, pitch rules and limits have started to take effect in leagues to prevent as many overuse injuries as possible. Overuse is one of the leading causes of injury and is a typical problem in younger athletes who play for teams with one standout pitcher. Overuse will often lead to microtrauma injuries, and when pitched on, these microtrauma injuries lead to larger scale injuries and larger problems (Andrews 54-56). UCL injuries can also be caused by repetitive stress on the elbow, usually caused by throwing. The injury occurs when the ligament loosens and stretches to a point where the bones creating the elbow joint are no longer held closely tightly (Ansorge). Elbow injuries often have symptoms that are quite recognizable. Symptoms are often pain and fatigue in the elbow, and can be recognized early if pain does not reside after stretching a few warm up throws (Andrews 59). Other side effects to a UCL injury can be a tightness in the elbow and a tingling in both the ring and pinky fingers of the throwing hand (Ansorge). Tommy John Surgery would be used to get rid of these symptoms, and to eventually restore the stability of the elbow joint that was causing the problems in the first place. The ultimate goal is to get an athlete to where he was, and to eliminate the reason for him not being able to throw in the first place (Ulnar). Before the surgery, the injury must first be diagnosed with either a physical exam, x-ray, or MRI revealing any damage to the ligament that would require a surgical procedure (Ansorge). After diagnosis, the surgical procedure will begin.…
An anterior shoulder dislocation is usually from external rotation, extension, and abduction, the action used preparing for a volleyball spike.(9) Posterior dislocations are usually caused from severe internal rotation and adduction, this occurs most during a seizure.(9) Inferior dislocations are rare, but may be caused by an axial force to a arm raised overhead.(9) A bankart lesion could be a possible cause for instability leading after a shoulder dislocation. A bankart lesion is often caused as the shoulder "pops" out of the joint, causing the labrum to tear.(4) If the injury occurs on the playing field, there is a time frame where reduction is possible before the onset of muscle spasms. (2). If the injury is not seen as it occurs the dislocation will be noticeable in the history and/or physical examination. The athlete will most probably be experiencing a great deal of pain and possibly holding the one shoulder in attempts not to move the joint.(2) The deltoids will most probably loose contour after an anterior dislocation, it will no longer be rounded out over the humeral head.(2,4) If the dislocation is due to rotator cuff injury, pain is normally felt…
“I felt his pain through the message he sent, so we squeezed him in between surgeries just for an evaluation. It turned out he had a HUGE Rotator Cuff Tear that needed a major shoulder surgery.…
Elbow and shoulder injuries in throwers are usually the result of overuse and repetitive high stresses. In many cases, pain will resolve when the athlete stops throwing. It is uncommon for many of these injuries to occur in non-throwers. The human arm is a very complex system of bones, ligaments, muscles, tendons and tissue. The shoulder and elbow are the main sources of throwing injuries in…
Kaplan and others (2005) focused an shoulder injuries by position. The most common shoulder injury sustained by players was an Acromioclavicular Separation. The positions that were the most likely to sustain shoulder injuries were offensive quarterbacks and defensive backs. The positions that were the most likely to have surgery performed where defensive linebackers and offensive lineman.…