CHEONG, DENOVE, ROWELL & BENNETT
> Injury Definitions

Rotator Cuff Injury

Impingement of the rotator cuff can cause chronic shoulder pain. Impingement lesions can involve edema and hemorrhage; fibrosis and tendonitis; and bone spurs and incomplete and complete tears of the rotator cuff and long-head of the biceps tendon. As the rotator cuff disease progresses, shoulder pain becomes more constant. 

Overhead and arm-length activities increase the pain. Over time the person can notice some weakness during shoulder elevation. A grinding noise can also be noted. The injury can be diagnosed by history, physical examination, x-ray, arthrography, MRI and CT arthrography. Treatment can include physical therapy, analgesics and non-steroidal anti-inflammatory drugs, cortisone injections, nerve blocks, exercise and surgical intervention. For related information go to:  Adhesive Capsulitis, and Pain.

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