Rupture Shoulder Tendon

A tendon rupture in the shoulder, also known as a rotator cuff tear, is a common injury, particularly among athletes, older adults, and people who perform repetitive overhead activities. The rotator cuff consists of four muscles and their tendons, which stabilize the shoulder and allow for a wide range of motion.

Causes

Acute Injury

Sudden, traumatic events like falling on an outstretched arm, lifting something too heavy, or a sudden jerking motion.

Degenerative Wear and Tear

Repeated shoulder movements, especially overhead activities, can wear down the tendons over time, leading to a rupture.

Chronic Tendonitis

Ongoing inflammation of the tendons can weaken them, making them more prone to tearing.

Symptoms

– Sudden, severe pain: Often occurs after an injury or lifting something heavy.
– Weakness in the shoulder: Difficulty lifting the arm, especially overhead.
– Limited Range of Motion: Stiffness and inability to perform everyday tasks.

– Crackling Sensation: A popping or crackling sound may be heard when moving the shoulder.
– Night Pain: Discomfort that worsens at night, particularly when lying on the affected shoulder.

Diagnosis

– Physical Examination: A doctor will assess the range of motion, muscle strength, and pain response.

– Imaging: MRI or ultrasound is commonly used to confirm a tendon rupture and assess its severity.

Treatment

– Conservative Treatment: For partial tears or patients with low activity levels, treatment may include rest, physical therapy, anti-inflammatory medications, and steroid injections.
– Surgery: Often necessary for complete tears or when conservative treatment fails. Surgical options include:
– Arthroscopic Repair: Minimally invasive surgery where small instruments are used to reattach the torn tendon.

– Open Repair: A larger incision is made to directly visualize and repair the tendon.
– Tendon Transfer: If the tendon is too damaged to be reattached, a tendon from another part of the body may be used.
– Shoulder Replacement: In severe cases, particularly with associated arthritis, a shoulder replacement might be recommended.

Recovery

– Rehabilitation: Post-surgery or post-conservative treatment, physical therapy is crucial to restore strength and flexibility. Recovery can take several months, depending on the severity of the tear and the treatment method.

– Avoidance of Re-Injury: Gradual return to activities is essential to prevent re-injury. Patients are often advised to avoid heavy lifting and overhead activities until fully healed.

Prevention

– Strengthening Exercises: Regular shoulder exercises can strengthen the rotator cuff muscles and tendons, reducing the risk of injury.
– Ergonomic Adjustments: Proper posture and technique, especially during sports and repetitive activities, can help protect the shoulder.

– Early Intervention: Addressing shoulder pain and discomfort early can prevent further damage and potential rupture.

If you suspect a tendon rupture in your shoulder, it’s crucial to seek medical attention promptly to prevent further complications and to receive appropriate treatment.

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