MadSci Network: Medicine |
Hi Jimmy, The shoulder joint is a ball and socket type of joint, and although very mobile, needs a lot of reinforcement to keep the whole thing together. The rotator cuff is such a reinforcing structure around the joint, consisting of four muscle tendons that merge with the fibrous capsule enclosing the joint. The rotator cuff may be torn as a result of a fall. A partial tear may cause "painful arc syndrome" (pain when the arm is lifted in a certain arc away from the body). This usually responds to treatment with anti- inflammatory medication and appropriate physiotherapy. A complete tear, however, seriously limits the ability to raise the arm and, in cases of severe disability, may require surgical repair. Best wishes Doc C-P (Adrian Canale-Parola MB BChir DRCOG)