Uszkodzenie stożka rotatorów
Etiologia i przyczyny

Uszkodzenia stożka rotatorów stanowią istotny problem kliniczny, dotykający 20-40% populacji, z roczną liczbą około 2 milionów pacjentów w USA zgłaszających się z tym schorzeniem. Etiologia obejmuje urazy ostre, takie jak upadki na wyciągniętą rękę czy bezpośrednie urazy barku, oraz przewlekłe zmiany degeneracyjne, które dominują u osób powyżej 40. roku życia. Czynniki ryzyka to przede wszystkim wiek (częstość uszkodzeń wzrasta do 62% u osób >80 lat), powtarzalne ruchy nad głową, praca fizyczna oraz sporty wymagające intensywnych ruchów ramienia. Istotne są także predyspozycje genetyczne oraz współistniejące czynniki, takie jak palenie tytoniu, otyłość, choroby zapalne i niestabilność barku. Patofizjologia uszkodzeń ścięgien stożka rotatorów opiera się na dwóch głównych mechanizmach: zewnątrzpochodnym (ucisk ścięgien w zespole ciasnoty podbarkowej) oraz wewnątrzpochodnym (degeneracja śluzowa i osłabienie struktury ścięgna), które współistnieją i prowadzą do progresji zmian.

Etiologia uszkodzenia stożka rotatorów

Uszkodzenie stożka rotatorów, będące jedną z najczęstszych przyczyn bólu barku, może wynikać z różnych czynników etiologicznych. Patologia ta dotyka znaczącą część populacji – według badań, od 20% do 40% osób ogólnej populacji cierpi na to schorzenie, a prawie 2 miliony Amerykanów rocznie szuka pomocy medycznej z powodu uszkodzenia stożka rotatorów.12

Główne mechanizmy uszkodzenia

Wyróżnia się dwa główne mechanizmy powstawania uszkodzeń stożka rotatorów:345

  1. Urazy ostre (traumatyczne) – powstające w wyniku jednorazowego zdarzenia
  2. Zmiany degeneracyjne – rozwijające się powoli w czasie na skutek stopniowego zużycia tkanek

Wiele badań epidemiologicznych silnie potwierdza związek między wiekiem a częstością występowania uszkodzeń stożka rotatorów, przy czym najczęstszą przyczyną jest degeneracja związana z wiekiem, a rzadziej urazy sportowe lub inne zdarzenia traumatyczne.6

Urazy ostre

Ostre uszkodzenie stożka rotatorów może wystąpić w wyniku następujących sytuacji:78910

  • Upadek na wyciągniętą rękę1112
  • Podnoszenie zbyt ciężkich przedmiotów gwałtownym ruchem1314
  • Bezpośredni uraz barku1516
  • Wypadki komunikacyjne17
  • Zwichnięcie barku1819
  • Złamanie obojczyka2021
  • Nagłe i silne ruchy rotacyjne ramienia22

Ostre urazy są częstsze u młodszych osób, szczególnie sportowców i osób uprawiających sporty kontaktowe.232425

Zmiany degeneracyjne

Większość uszkodzeń stożka rotatorów wynika z procesów degeneracyjnych, które postępują z wiekiem. Uszkodzenia te rozwijają się stopniowo i są częstsze u osób po 40. roku życia.262728

Czynniki przyczyniające się do degeneracyjnych uszkodzeń stożka rotatorów obejmują:2930

Czynniki ryzyka uszkodzenia stożka rotatorów

Istnieje szereg czynników zwiększających ryzyko wystąpienia uszkodzeń stożka rotatorów:424344

Wiek

Wiek jest najistotniejszym czynnikiem ryzyka wystąpienia uszkodzeń stożka rotatorów:454647

  • Częstość występowania wzrasta istotnie po 40. roku życia4849
  • U osób do 20. roku życia uszkodzenia występują u 9,7% badanych50
  • U osób powyżej 80. roku życia uszkodzenia występują u 62% badanych (niezależnie od obecności objawów)51
  • Do 80. roku życia większość dorosłych ma uszkodzenia stożka rotatorów52

U osób starszych (po 60. roku życia) pełnościenne uszkodzenia stożka rotatorów mają większą tendencję do progresji niż u osób młodszych.5354

Aktywności zawodowe

Wykonywanie określonych zawodów znacząco zwiększa ryzyko uszkodzenia stożka rotatorów, szczególnie tych wymagających:555657

  • Powtarzalnych ruchów nad głową5859
  • Ciężkiej pracy fizycznej60
  • Podnoszenia ciężkich przedmiotów61

Do zawodów szczególnie narażonych na uszkodzenia stożka rotatorów należą:626364

  • Malarze6566
  • Cieśle i stolarze6768
  • Pracownicy budowlani6970
  • Fryzjerzy71
  • Pracownicy służby zdrowia podnoszący pacjentów72
  • Mechanicy73

Aktywność sportowa

Sportowcy, szczególnie ci uprawiający sporty wymagające powtarzalnych ruchów nad głową, są w grupie podwyższonego ryzyka wystąpienia uszkodzeń stożka rotatorów:747576

  • Baseball, szczególnie rzucanie7778
  • Tenis7980
  • Pływanie8182
  • Podnoszenie ciężarów8384
  • Sporty rzutowe85
  • Zapasy86
  • Golf87
  • Siatkówka88
  • Gimnastyka89

W przypadku sportowców uszkodzenia są często związane z nagłymi urazami podczas kolizji, upadków lub przeciążeń, jak również z chronicznym przeciążeniem wynikającym z powtarzalnych ruchów.9091

Czynniki genetyczne i rodzinne

Badania wskazują na istnienie komponentu genetycznego w patologii stożka rotatorów:929394

  • Wykazano istotną korelację między występowaniem schorzeń stożka rotatorów u osób spokrewnionych do trzeciego stopnia pokrewieństwa95
  • Częstsze występowanie uszkodzeń w niektórych rodzinach96

Badania genetyczne wykazały związek między polimorfizmami pojedynczego nukleotydu (SNP) a chorobami stożka rotatorów dla genów: DEFB1, FGFR1, FGFR3, ESRRB, FGF10, MMP-1, TNC, FCRL3, SASH1, SAP30BP i rs71404070 położonego obok kadheryny 8.97

Inne czynniki ryzyka

Pozostałe istotne czynniki ryzyka uszkodzenia stożka rotatorów to:9899100

Patomechanizmy uszkodzenia stożka rotatorów

Patofizjologia uszkodzeń stożka rotatorów jest złożona i nie została jeszcze w pełni poznana. Istnieją dwie główne teorie dotyczące mechanizmów leżących u podstaw tych uszkodzeń: zewnątrzpochodna i wewnątrzpochodna.115

Teoria zewnątrzpochodna

Według tej teorii uszkodzenie wynika głównie z powtarzającego się ucisku ścięgien stożka rotatorów o różne struktury stawu ramiennego.116117

  • Zespół ciasnoty podbarkowej powoduje tarcie i powtarzające się mikrourazy118119
  • Ucisk ścięgna pod wyrostkiem barkowym podczas ruchu ramienia120
  • Osteofity podbarkowe zwiększające ucisk na ścięgna121
  • Charakterystyka morfologiczna wyrostka barkowego (typy II i III według klasyfikacji)122123

Neer uważał, że 95% uszkodzeń stożka rotatorów było spowodowanych zużyciem wskutek ucisku, a nie upośledzeniem krążenia lub urazem.124

Teoria wewnątrzpochodna

Ta teoria zakłada, że uszkodzenia wynikają z postępującej, związanej z wiekiem degeneracji ścięgna.125126

  • Badania histologiczne potwierdzają zmiany degeneracyjne w ścięgnach stożka rotatorów związane z wiekiem127
  • Wewnętrzna degeneracja śluzowa jako główny proces patofizjologiczny128
  • Badania Budoffa i wsp. sugerują, że głównym mechanizmem uszkodzenia jest osłabienie wewnętrzne ścięgna pod wpływem znacznych sił ekscentrycznych podczas aktywności fizycznej129

Najbardziej prawdopodobne jest, że obie teorie (zewnątrz- i wewnątrzpochodna) współistnieją i wyjaśniają patofizjologię uszkodzeń stożka rotatorów.130131

Typy i progresja uszkodzeń stożka rotatorów

Uszkodzenia stożka rotatorów mogą przybierać różne formy, od łagodnego zapalenia ścięgna do całkowitego przerwania ciągłości ścięgna.132133

Rodzaje uszkodzeń

Możemy wyróżnić następujące typy uszkodzeń stożka rotatorów:134135136

  • Zapalenie ścięgna (tendinitis) – stan zapalny i podrażnienie ścięgien137138
  • Tendinopatia (tendinoza) – przewlekła degeneracja ścięgna z mikroskopowymi zmianami w kolagenie bez wyraźnego stanu zapalnego139140
  • Naderwanie częściowe – uszkodzenie nie przechodzi przez całą grubość ścięgna141142
  • Całkowite przerwanie (pełnościenne) – przerwanie obejmujące całą grubość ścięgna143144
  • Zespół ciasnoty podbarkowej (impingement) – ucisk i podrażnienie ścięgien stożka rotatorów między wyrostkiem barkowym a głową kości ramiennej145146
  • Zapalenie kaletki podbarkowej (bursitis) – stan zapalny kaletki maziowej znajdującej się między ścięgnami stożka rotatorów a wyrostkiem barkowym147

Progresja uszkodzenia

Uszkodzenia stożka rotatorów często postępują w czasie, jeśli nie są odpowiednio leczone:148149150

  • Naderwania częściowe mogą z czasem przerodzić się w pełnościenne uszkodzenia151152
  • Większe naderwania mają większą tendencję do powiększania się153
  • Uszkodzenia aktywnie powiększające się mają pięciokrotnie większe prawdopodobieństwo rozwoju objawów niż te, które pozostają stabilne154
  • Naderwania w przedniej części stożka rotatorów mają większe prawdopodobieństwo progresji155
  • Pacjenci po 60. roku życia są bardziej narażeni na powiększanie się uszkodzeń156

Bez odpowiedniego leczenia, uszkodzenia stożka rotatorów mogą prowadzić do chronicznego bólu, ograniczonej funkcjonalności ramienia, utraty zakresu ruchu i potencjalnego uszkodzenia stawu barkowego.157158159

W miarę postępu choroby może dochodzić do zmian tłuszczowych w mięśniach stożka rotatorów, co znacząco zmniejsza szanse na skuteczne leczenie, szczególnie chirurgiczne.160161

Anatomia i lokalizacja uszkodzeń

Stożek rotatorów składa się z czterech mięśni wraz z ich ścięgnami, które otaczają staw ramienny i zapewniają mu stabilizację oraz umożliwiają ruch.162163

W skład stożka rotatorów wchodzą:164

  • Mięsień nadgrzebieniowy (supraspinatus)
  • Mięsień podgrzebieniowy (infraspinatus)
  • Mięsień podłopatkowy (subscapularis)
  • Mięsień obły mniejszy (teres minor)

Najczęściej uszkodzeniu ulega ścięgno mięśnia nadgrzebieniowego, które jest szczególnie narażone na zespół ciasnoty podbarkowej.165

Uszkodzenia mogą dotyczyć jednego lub więcej ścięgien stożka rotatorów, z różną lokalizacją i wielkością:166167

  • Wielkość uszkodzeń może wahać się od punktowego przerwania do rozległego uszkodzenia obejmującego całe ścięgno168
  • Najczęstsze są małe i średnie uszkodzenia, o szerokości 1-3 cm169
  • Uszkodzenia często występują w miejscu przyczepu ścięgna do kości170

W przypadku całkowitego przerwania ścięgna może dojść do retrakcji (cofnięcia się) oderwanego ścięgna od miejsca przyczepu do kości, co znacząco komplikuje leczenie.171

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  1. 13.04.2026
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Materiały źródłowe

  • #1 Rotator Cuff Injuries
    https://www.sports-health.com/sports-injuries/shoulder-injuries/rotator-cuff-injuries
    An injured rotator cuff is diagnosed when muscles and tendons that support and surround the shoulder joint are torn. […] Rotator cuff injury is the most common shoulder disorder and affects 20% to 40% of the general population. […] A rotator cuff injury happens when one or more of the four muscles or tendons that form the cuff are damaged. […] Tendons are injured more commonly than muscles. […] Shoulder problems such as shoulder impingement can lead to rotator cuff injuries over time. […] Both acute and chronic injuries can cause tearing of the rotator cuff muscles. […] Injury to the muscle or tendon occurs in one of 2 ways: Acute injuries: Overstretching or tearing of muscles or tendons that results from a one-time traumatic event, such as holding out the arm to break a fall or an acute sports injury (eg, horseback riding, hockey, and soccer)
  • #2 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] There are two main causes of rotator cuff tears: injury (acute) and wear (degeneration). […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and in most cases is relatively painless. […] Several factors contribute to degenerative, or wear-related, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons.
  • #3 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] There are two main causes of rotator cuff tears: injury (acute) and wear (degeneration). […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and in most cases is relatively painless. […] Several factors contribute to degenerative, or wear-related, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons.
  • #4 Rotator Cuff Injury | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/r/rotator-cuff-disorder.html
    Injury and degeneration are the two main causes of rotator cuff tears. […] An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand. It may also develop over time due to repetitive activities. Rotator cuff tears can also happen due to the breakdown (degeneration) of the tissues, which may happen as part of the aging process. […] Injury and breakdown (degeneration) are the two main causes of rotator cuff tears.
  • #5 Shoulder – Rotator Cuff Injuries – AOA Orthopedic Specialists
    https://jointinstituteofnorthtexas.com/rotator-cuff-injuries/
    When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. […] There are two main causes of rotator cuff tears: injury and degeneration. […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. […] Several factors contribute to degenerative, or chronic, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons. […] As we get older, the blood supply in our rotator cuff tendons lessens. […] As we age, bone spurs (bone overgrowth) often develop on the underside of the acromion bone. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #6 Rotator cuff tear – Wikipedia
    https://en.wikipedia.org/wiki/Rotator_cuff_tear
    Rotator cuff tendinopathy is a process of senescence. The pathophysiology is mucoid degeneration. Most people develop rotator cuff tendinopathy within their lifetime. […] Epidemiological studies strongly support a relationship between age and cuff tear prevalence, with the most common cause being age-related degeneration and, less frequently, sports injuries or trauma. […] Those most prone to failed rotator cuff syndrome are people 65 years of age or older; and those with large, sustained tears. Smokers, people with diabetes, individuals with muscle atrophy or fatty infiltration, and those who do not follow postoperative-care recommendations also are at greater risk. […] The two main causes are acute injury or chronic and cumulative degeneration of the shoulder joint. Mechanisms can be extrinsic, intrinsic or a combination of both.
  • #7 Rotator cuff injury – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rotator-cuff-injury/symptoms-causes/syc-20350225
    Rotator cuff injuries are most often caused by progressive wear and tear of the tendon tissue over time. […] Repetitive overhead activity or prolonged bouts of heavy lifting can irritate or damage the tendon. […] The rotator cuff can also be injured in a single incident during falls or accidents.
  • #8 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] There are two main causes of rotator cuff tears: injury (acute) and wear (degeneration). […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and in most cases is relatively painless. […] Several factors contribute to degenerative, or wear-related, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons.
  • #9 Rotator Cuff Tear: Causes, Symptoms, Treatments | HSS
    https://www.hss.edu/condition-list_rotator-cuff-tear-injury.asp
    A rotator cuff tear is a tear in any one of the tendons of the rotator cuff. […] A minor, partial tear can occur over time from overuse, or prolonged wear and tear (degeneration). Partial tears can progress to full-thickness rotator cuff tears over time. Complete ruptures can also be caused by a trauma such as dislocating your shoulder or by performing a sudden and heavy lift. […] When trauma is the immediate cause of a tear, it is often the case that existing tendon degeneration or a prior, less severe rotator cuff injury has played a contributing role.
  • #10 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    A rotator cuff injury can happen from: […] Trauma. Direct blows to the shoulder can lead to severe tears in the rotator cuff. […] Falling. Falling on an outstretched arm can cause significant damage to the rotator cuff tendons. […] Lifting heavy objects. Attempting to lift something too heavy with a sudden, jerking motion can cause a tear. […] Repetitive overhead motion. Doing repetitive overhead arm movements, such as those involved in some sports, can contribute to rotator cuff tears. […] Degenerative wear and tear. Chronic degeneration of the rotator cuff tendons over time can lead to tears known as degenerative tears. […] Overuse. Repetitive motion from overuse causes wear and tear on the tendons. […] Many factors may put you at risk for a rotator cuff tear, including: […] Sports with overhead activities. Playing sports involving repetitive overhead arm motion, like baseball, swimming, or tennis, increases the risk of rotator cuff tears.
  • #11 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keep it stable. […] A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury. […] Causes of this condition include: Keeping the arm in the same position for long periods, such as doing computer work or hairstyling, Sleeping on the same arm each night, Playing sports requiring the arm to be moved overhead repeatedly such as in tennis, baseball (particularly pitching), swimming, and lifting weights overhead, Working with the arm overhead for many hours or days, such as in painting and carpentry, Poor posture over many years, Aging, Rotator cuff tears. […] A sudden acute tear may happen when you fall on your arm while it is stretched out. Or, it can occur after a sudden, jerking motion when you try to lift something heavy.
  • #12 Rotator Cuff Tear: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/pain-management/rotator-cuff-tear
    A rotator cuff tear is a rip in the group of four muscles and tendons that stabilize your shoulder joint and let you lift and rotate your arms (your rotator cuff). […] Its a common injury, especially in sports like baseball or tennis, or in jobs like painting or cleaning windows. It usually happens over time from normal wear and tear, or if you repeat the same arm motion over and over. But it also can happen suddenly if you fall on your arm or lift something heavy. […] You can tear your rotator cuff in two ways: an acute tear or a degenerative tear. […] Injuries to the shoulder, such as falling on your arm, can cause you to have an acute rotator cuff tear. […] This tear occurs when you wear down your tendons over time. Your risk of having a worn-down rotator cuff goes up with: […] Jobs like house painters and construction workers put you at a higher chance of rotator cuff tears.
  • #13 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keep it stable. […] A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury. […] Causes of this condition include: Keeping the arm in the same position for long periods, such as doing computer work or hairstyling, Sleeping on the same arm each night, Playing sports requiring the arm to be moved overhead repeatedly such as in tennis, baseball (particularly pitching), swimming, and lifting weights overhead, Working with the arm overhead for many hours or days, such as in painting and carpentry, Poor posture over many years, Aging, Rotator cuff tears. […] A sudden acute tear may happen when you fall on your arm while it is stretched out. Or, it can occur after a sudden, jerking motion when you try to lift something heavy.
  • #14 Rotator cuff tears: Causes, symptoms and treatment | OrthoIndy Blog
    https://blog.orthoindy.com/2017/03/06/rotator-cuff-tears/
    Rotator cuff injuries are most commonly caused by activities that involve excessive and repetitive overhead motion. […] Most torn rotator cuffs are largely caused by normal wear and tear that comes along with aging. People who do repetitive lifting or overhead activities are also at risk. Athletes are especially vulnerable to overuse tears, particularly tennis players and baseball pitchers. Most tears in young adults are caused by a traumatic injury such as a fall. […] Acute Tear: This happens when someone falls down on an outstretched arm or lifts something too heavy. This can occur in conjunction with other shoulder injuries such as a broken collarbone or dislocated shoulder. […] Degenerative Tear: This is the most common cause. It occurs slowly over time and is most common in the dominant arm. If you have a degenerative tear in one shoulder, there is a greater risk for a tear in the opposite shoulder, even if you have no pain in that shoulder.
  • #15 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    A rotator cuff injury can happen from: […] Trauma. Direct blows to the shoulder can lead to severe tears in the rotator cuff. […] Falling. Falling on an outstretched arm can cause significant damage to the rotator cuff tendons. […] Lifting heavy objects. Attempting to lift something too heavy with a sudden, jerking motion can cause a tear. […] Repetitive overhead motion. Doing repetitive overhead arm movements, such as those involved in some sports, can contribute to rotator cuff tears. […] Degenerative wear and tear. Chronic degeneration of the rotator cuff tendons over time can lead to tears known as degenerative tears. […] Overuse. Repetitive motion from overuse causes wear and tear on the tendons. […] Many factors may put you at risk for a rotator cuff tear, including: […] Sports with overhead activities. Playing sports involving repetitive overhead arm motion, like baseball, swimming, or tennis, increases the risk of rotator cuff tears.
  • #16 Rotator Cuff Injuries: Causes, Symptoms & Treatment | Banner
    https://www.bannerhealth.com/services/orthopedics/shoulder-elbow/rotator-cuff
    If youre dealing with shoulder pain, this may be related to your rotator cuff. A rotator cuff injury affects the muscles and tendons surrounding your shoulder joint making it difficult to reach for things on a shelf or brush your hair. […] A rotator cuff injury happens when the muscles and tendons are damaged. When these get hurt or torn, it can cause pain and make it harder to move your shoulder. […] Several factors can lead to a rotator cuff injury or increase your risk of developing one: […] Common causes of pain and injury in the rotator cuff include: […] Trauma: A sudden event or acute injury, such as falling on an outstretched arm or lifting something heavy, can cause an acute rotator cuff tear. […] Repetitive motion: Repeating the same arm motions, especially overhead movements, can wear down the muscles and tendons over time. Sports like tennis, baseball and swimming, as well as jobs like painting or carpentry, can lead to degenerative tears.
  • #17 Rotator Cuff Tear – Florida Surgery Consultants
    https://floridasurgeryconsultants.com/conditions/rotator-cuff-tear/
    The most common root causes of rotator cuff tears are injury (acute) and degeneration. A rotator cuff tear can be a product of both of these causes. […] When you fall, you will likely use one or both arms to brace yourself for the coming impact. […] Youll find people in specific lines of work are more susceptible to rotator cuff tears than your average human. These professions include painters, carpenters, and delivery men. […] All kinds of sports can lead to your arm being hyper-rotated. In sports like football, judo, wrestling, baseball, and gymnastics, rotator cuff tears are not uncommon. […] Many automobile accidents lead to torn rotator cuffs due to the fact that your shoulder area is lined up with the steering wheel. […] Pulled shoulder muscles can happen at any time if your limbs are under too much stress load.
  • #18 Rotator Cuff Injury: Symptoms & Causes | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/sports-medicine/conditions/shoulder/rotator-cuff-injuries
    In some cases, your rotator cuff injury may follow another injury. For instance, dislocating your shoulder can pull on the surrounding tendons and cause a rotator cuff tear. […] Rotator cuff injuries most commonly impact people who work jobs requiring heavy lifting and athletes playing sports such as baseball and tennis. […] Repeatedly using your rotator cuff can wear down the tendon tissue over time, causing damage or irritation. […] Accidents or falls causing sudden trauma to your shoulder can also lead to rotator cuff injuries. […] Common risk factors for a rotator cuff injury include age, occupation, and playing sports.
  • #19 Rotator Cuff Tear | Orthopedics & Sports Medicine
    https://health.uconn.edu/orthopedics-sports-medicine/conditions-and-treatments/where-does-it-hurt/shoulder/rotator-cuff-tear/
    Rotator cuff tears get a lot of attention. Theyre relatively common in people over 40 and can result from overuse or a single traumatic event. […] Rotator cuff tears as a result of overuse are most common in older individuals and athletes competing in overhead sports such as baseball, tennis, basketball, golf, and swimming. Tears resulting from trauma are typically attributed to falls or collision sports such as football, lacrosse, and ice hockey. It is also very common to tear one or more of the rotator cuff tendons when you dislocated your shoulder.
  • #20 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] There are two main causes of rotator cuff tears: injury (acute) and wear (degeneration). […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and in most cases is relatively painless. […] Several factors contribute to degenerative, or wear-related, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons.
  • #21 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    Overuse: Repetitive shoulder movements during sports or on the job can stress your muscles and tendons, causing a tear. […] Anyone can experience a rotator cuff tear. These factors may increase your risk: […] Biological family history of shoulder problems or rotator cuff injuries. […] Degenerative tears are more common among people who do the same repetitive shoulder movements, such as: […] Carpenters. […] A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm. […] An accident, such as a fall, can cause a broken collarbone or dislocated shoulder that tears your rotator cuff.
  • #22
    https://www.orthobullets.com/shoulder-and-elbow/3043/rotator-cuff-tears
    Rotator cuff tears are a very common source of shoulder pain and decreased motion that can occur due to both traumatic injuries in young patients as well as degenerative disease in the elderly patient. […] mechanisms of tear includes chronic degenerative tear (intrinsic degeneration is the primary etiology) usually seen in older patients. […] chronic impingement typically starts on the bursal surface or within the tendon. […] acute avulsion injuries acute subscapularis tears seen in younger patients following a fall. […] acute SIT (supraspinatus, infraspinatus, teres minor) tears seen in patients 40 yrs with a shoulder dislocation. […] iatrogenic injuries due to failure of surgical repair often seen in repair failure of the subscapularis tendon following open anterior shoulder surgery. […] Mechanism is often a degenerative tear in older patients or a shoulder dislocation in patients 40 yrs. […] Mechanism is often an acute avulsion in younger patients with a hyperabduction/external rotation injury or an iatrogenic injury due to failure of repair.
  • #23 Rotator Cuff Injury: Treatments, Symptoms, and Diagnosis
    https://www.healthline.com/health/rotator-cuff-injury
    Rotator cuff strains or tears are generally caused by: […] Rotator cuff injuries can range from mild to severe. They tend to fall into one of two categories: acute or chronic. Tendinitis (acute) or tendinopathy (chronic) is typically caused by overuse of the rotator cuff muscle. This causes it to become irritated. The tendons that connect muscles to bones can overstretch (strain) or tear, partially or completely. […] Tennis players who use an overhead serve and painters who have to reach upward to do their jobs commonly experience this injury. The rotator cuff can also be strained or tear after a fall, a car accident, or another sudden injury. These injuries typically cause intense and immediate pain. […] Acute injuries usually occur from one particular incident. These can be caused by lifting objects that are too heavy, falling, or having the shoulder forced into an awkward position. Young people are more likely to experience this type of rotator cuff injury. […] Degenerative injuries are due to long-term overuse. People most at risk for these injuries include: athletes, particularly tennis players, baseball players, rowers, and wrestlers; people with jobs that require repetitive lifting, like painters and carpenters; people above 40 years of age.
  • #24 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    As we get older, the blood supply in our rotator cuff tendons decreases. Without a good blood supply, the body’s natural ability to repair tendon damage is impaired. This can ultimately lead to a tendon tear. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] People who do repetitive lifting or overhead activities are also at risk for rotator cuff tears. Athletes are especially vulnerable to overuse tears, particularly tennis players and baseball pitchers. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #25 Rotator Cuff Injuries
    https://www.sports-health.com/sports-injuries/shoulder-injuries/rotator-cuff-injuries
    Chronic degeneration: Occurs due to overuse (fatigue) or entrapment (impingement) of the rotator cuff, causing the tissue to degenerate and become weak and painful. Chronic degeneration also significantly increases the risk of an acute tear. […] Athletes who use one shoulder repetitively, such as baseball pitchers or tennis players, and people in occupations who use one shoulder repetitively, like construction workers, are especially prone to chronic rotator cuff injuries. […] In general, acute injuries occur in younger individuals, and chronic injuries are seen in older people. […] An injury to the rotator cuff affects the shoulder joints stability and range of movement. […] The duration of a rotator cuff injury varies widely depending on several factors: Severity of the injury: Inflammation and minor tears heal within a few weeks with rest and self-care. Larger tears require months of non-surgical treatments or even surgery. […] Delaying treatment or ignoring the symptoms makes a rotator cuff injury worse.
  • #26 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] There are two main causes of rotator cuff tears: injury (acute) and wear (degeneration). […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and in most cases is relatively painless. […] Several factors contribute to degenerative, or wear-related, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons.
  • #27 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    A rotator cuff tear is an injury to your rotator cuff that can cause shoulder pain and the inability to use your arm. […] A tear may result from overuse or another injury. […] More commonly, rotator cuff tears occur over time as your tendon wears down with age and use (degenerative tear). People over age 40 are most at risk. […] Causes of degenerative tears include: […] Bone spurs: Bony growths can form on the top of your shoulder bone. These bone spurs rub against your tendon when you lift your arm. This shoulder impingement creates friction between your bone and tendon. Eventually, a partial or complete tear may occur. […] Decreased blood flow: Blood flow to your rotator cuff decreases as you get older. Your muscles and tendons need a healthy blood supply to repair themselves. If blood doesn’t nourish your tendons, they can tear.
  • #28 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #29 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] There are two main causes of rotator cuff tears: injury (acute) and wear (degeneration). […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and in most cases is relatively painless. […] Several factors contribute to degenerative, or wear-related, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons.
  • #30 Shoulder – Rotator Cuff Injuries – AOA Orthopedic Specialists
    https://jointinstituteofnorthtexas.com/rotator-cuff-injuries/
    When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. […] There are two main causes of rotator cuff tears: injury and degeneration. […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. […] Several factors contribute to degenerative, or chronic, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons. […] As we get older, the blood supply in our rotator cuff tendons lessens. […] As we age, bone spurs (bone overgrowth) often develop on the underside of the acromion bone. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #31 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #32 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] There are two main causes of rotator cuff tears: injury (acute) and wear (degeneration). […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and in most cases is relatively painless. […] Several factors contribute to degenerative, or wear-related, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons.
  • #33 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    Overuse: Repetitive shoulder movements during sports or on the job can stress your muscles and tendons, causing a tear. […] Anyone can experience a rotator cuff tear. These factors may increase your risk: […] Biological family history of shoulder problems or rotator cuff injuries. […] Degenerative tears are more common among people who do the same repetitive shoulder movements, such as: […] Carpenters. […] A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm. […] An accident, such as a fall, can cause a broken collarbone or dislocated shoulder that tears your rotator cuff.
  • #34 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    As we get older, the blood supply in our rotator cuff tendons decreases. Without a good blood supply, the body’s natural ability to repair tendon damage is impaired. This can ultimately lead to a tendon tear. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] People who do repetitive lifting or overhead activities are also at risk for rotator cuff tears. Athletes are especially vulnerable to overuse tears, particularly tennis players and baseball pitchers. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #35 Rotator Cuff Tear: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/pain-management/rotator-cuff-tear
    As you get older, you get less blood to your rotator cuff area, which makes small tears hard to repair, leading to larger tears. […] Bone overgrowth in the shoulder, which happens more often as you get older, can wear away the rotator cuff tissues and cause tears. […] Rotator cuff tears are most common in people over 60. […] Doctors think there could be a genetic piece to rotator cuff tears. They happen more often in certain families. […] Baseball, tennis, rowing, and weightlifting are sports that stress your rotator cuff and put you at risk of tears. […] Rotator cuff tears often happen to athletes and people who play tennis, football, basketball, volleyball and other contact sports or overhead sports (involving moving your arms and shoulders over your head). […] Rotator cuff injuries can happen during sports from falls, collisions, direct blows, or overuse and strain on the shoulder.
  • #36 Shoulder – Rotator Cuff Injuries – AOA Orthopedic Specialists
    https://jointinstituteofnorthtexas.com/rotator-cuff-injuries/
    When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. […] There are two main causes of rotator cuff tears: injury and degeneration. […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. […] Several factors contribute to degenerative, or chronic, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons. […] As we get older, the blood supply in our rotator cuff tendons lessens. […] As we age, bone spurs (bone overgrowth) often develop on the underside of the acromion bone. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #37 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    A rotator cuff tear is an injury to your rotator cuff that can cause shoulder pain and the inability to use your arm. […] A tear may result from overuse or another injury. […] More commonly, rotator cuff tears occur over time as your tendon wears down with age and use (degenerative tear). People over age 40 are most at risk. […] Causes of degenerative tears include: […] Bone spurs: Bony growths can form on the top of your shoulder bone. These bone spurs rub against your tendon when you lift your arm. This shoulder impingement creates friction between your bone and tendon. Eventually, a partial or complete tear may occur. […] Decreased blood flow: Blood flow to your rotator cuff decreases as you get older. Your muscles and tendons need a healthy blood supply to repair themselves. If blood doesn’t nourish your tendons, they can tear.
  • #38 Shoulder – Rotator Cuff Injuries – AOA Orthopedic Specialists
    https://jointinstituteofnorthtexas.com/rotator-cuff-injuries/
    When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. […] There are two main causes of rotator cuff tears: injury and degeneration. […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. […] Several factors contribute to degenerative, or chronic, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons. […] As we get older, the blood supply in our rotator cuff tendons lessens. […] As we age, bone spurs (bone overgrowth) often develop on the underside of the acromion bone. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #39 Why Rotator Cuff Injuries Are So Common: Steven E. Nolan, M.D.: Orthopedic Surgeon
    https://www.stevennolanmd.com/blog/why-rotator-cuff-injuries-are-so-common
    Its also common to form bone spurs on the underside of the acromion (a bony protrusion on top of your shoulder blade) as you age. These spurs rub on the tendons of the rotator cuff every time you lift your arms, resulting in a condition known as impingement that can weaken the tendon and cause a tear.
  • #40
    https://www.healthshare.com.au/questions/56301-what-are-the-causes-of-rotator-cuff-tear/
    Acute Tear An injury to your shoulder will often cause a rotator cuff tear. Common mechanisms of injury include falls onto your outstretched arm or lifting something too heavy with a jerking motion. It can also occur with other shoulder injuries, such as a dislocated shoulder. […] Degenerative Tear Many tears are the result of degenerative wearing down of the tendon that occurs slowly over time, as we age. If you have a degenerative tear in one shoulder, there is a high likelihood of developing a rotator cuff tear in the opposite shoulder. Several factors contribute to degenerative, or chronic, rotator cuff tears. Repetitive stress. Repeating the same shoulder movements again and again can damage your rotator cuff muscles and tendons over time. Many physical jobs and routine chores can cause overuse tears. They are also commonly seen in sportspeople. Bone spurs. As we age, bone spurs (bone overgrowth) often develop on the underside of the acromion bone. When we lift our arms, the spurs rub on the rotator cuff tendon. This condition is called shoulder impingement, and over time will weaken the tendon and make it more likely to tear. Poor blood supply. As we age, the blood supply in our rotator cuff tendons weakens impairing the body’s natural ability to repair tendon damage.
  • #41 Shoulder Impingement (Rotator Cuff Tendinitis)
    https://my.clevelandclinic.org/health/diseases/shoulder-impingement-rotator-cuff-tendinitis
    Shoulder impingement happens when bones in your shoulder rub against or pinch your rotator cuff. […] Rotator cuff tendinitis is exactly what its name sounds like tendinitis that affects your rotator cuff. Tendinitis is swelling or irritation of a tendon. […] Shoulder impingement is almost always an overuse injury. This means it happens over time when an activity or motion repeatedly puts too much stress on your shoulder joint and rotator cuff. […] Healthcare providers call the kinds of movements that cause shoulder impingement overhead rotation motions any repetitive motion that requires you to twist and turn your shoulders with your arms raised. […] Some people develop shoulder impingement without an obvious cause (idiopathically). Its also possible for trauma (like a fall, car accident or sports injury) to cause impingement suddenly. […] Anything that irritates your rotator cuff and the tissue in your shoulder joint can cause shoulder impingement.
  • #42 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #43 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    As we get older, the blood supply in our rotator cuff tendons decreases. Without a good blood supply, the body’s natural ability to repair tendon damage is impaired. This can ultimately lead to a tendon tear. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] People who do repetitive lifting or overhead activities are also at risk for rotator cuff tears. Athletes are especially vulnerable to overuse tears, particularly tennis players and baseball pitchers. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #44 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    A rotator cuff injury can happen from: […] Trauma. Direct blows to the shoulder can lead to severe tears in the rotator cuff. […] Falling. Falling on an outstretched arm can cause significant damage to the rotator cuff tendons. […] Lifting heavy objects. Attempting to lift something too heavy with a sudden, jerking motion can cause a tear. […] Repetitive overhead motion. Doing repetitive overhead arm movements, such as those involved in some sports, can contribute to rotator cuff tears. […] Degenerative wear and tear. Chronic degeneration of the rotator cuff tendons over time can lead to tears known as degenerative tears. […] Overuse. Repetitive motion from overuse causes wear and tear on the tendons. […] Many factors may put you at risk for a rotator cuff tear, including: […] Sports with overhead activities. Playing sports involving repetitive overhead arm motion, like baseball, swimming, or tennis, increases the risk of rotator cuff tears.
  • #45 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #46 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #47 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    As we get older, the blood supply in our rotator cuff tendons decreases. Without a good blood supply, the body’s natural ability to repair tendon damage is impaired. This can ultimately lead to a tendon tear. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] People who do repetitive lifting or overhead activities are also at risk for rotator cuff tears. Athletes are especially vulnerable to overuse tears, particularly tennis players and baseball pitchers. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #48 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    A rotator cuff tear is an injury to your rotator cuff that can cause shoulder pain and the inability to use your arm. […] A tear may result from overuse or another injury. […] More commonly, rotator cuff tears occur over time as your tendon wears down with age and use (degenerative tear). People over age 40 are most at risk. […] Causes of degenerative tears include: […] Bone spurs: Bony growths can form on the top of your shoulder bone. These bone spurs rub against your tendon when you lift your arm. This shoulder impingement creates friction between your bone and tendon. Eventually, a partial or complete tear may occur. […] Decreased blood flow: Blood flow to your rotator cuff decreases as you get older. Your muscles and tendons need a healthy blood supply to repair themselves. If blood doesn’t nourish your tendons, they can tear.
  • #49 Shoulder – Rotator Cuff Injuries – AOA Orthopedic Specialists
    https://jointinstituteofnorthtexas.com/rotator-cuff-injuries/
    When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. […] There are two main causes of rotator cuff tears: injury and degeneration. […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. […] Several factors contribute to degenerative, or chronic, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons. […] As we get older, the blood supply in our rotator cuff tendons lessens. […] As we age, bone spurs (bone overgrowth) often develop on the underside of the acromion bone. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #50 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #51 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #52 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #53 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    The location of the tear also influences progression. Anterior tears are more likely to progress to cuff degeneration. […] Finally, age is a risk factor. Patients over age 60 are more likely to develop tears that progress. Younger patients with full-thickness tears appear more capable of adapting to stress and tear propagation than those 60 years of age and older.
  • #54 Understanding Shoulder Rotator Cuff Injuries and Treatment | OrthoVirginiaSearch
    https://www.orthovirginia.com/blog/understanding-shoulder-rotator-cuff-injuries-and-t/
    Rotator cuff problems come in all shapes and sizes. Most of these issues can be divided into tendonitis, partial tears, or full tears of the rotator cuff. […] Up to 60% of patients who are over 60 years old have full thickness rotator cuff tears. […] The reason you can have both a partial and full thickness tear is because the rotator cuff is made up of multiple layers of tissue just like how toilet paper is made of two plies. The rotator cuff has its own layers of tissue. There are five layers in the rotator cuff, and you can have injuries or tears involving one or multiple tissue layers. […] The tear can grow with time, and the muscles can undergo fatty changes, which means the tendon has torn off the bone, and the muscle has nothing to pull against. Over time, the muscle wears out and turns into fat.
  • #55 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #56 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    Occupation. Jobs that involve repetitive shoulder motions also can put people at risk for rotator cuff tears. […] Age. People over age 40 are more prone to developing rotator cuff tears. […] Heavy lifting. Lifting heavy items regularly can lead to tears. […] Muscle weakness. Weakened shoulder muscles due to reduced activity or lack of exercise can increase the risk of rotator cuff tears. […] It’s important to note that untreated rotator cuff tears can lead to further complications, including chronic pain, limited arm functionality and range of motion, and potential damage to the shoulder joint. Seeking a proper diagnosis and treatment is vital to preventing these complications. […] A tear also can increase over time so a partial rotator cuff tear may progress to a total tear.
  • #57 Rotator Cuff Tears and Injuries – Types, Causes, Prevention & Rehab
    https://www.uchealth.com/en/conditions/rotator-cuff-tear
    Identifying the type of rotator cuff injury and understanding the underlying causes help in developing an effective treatment plan. […] Several factors can increase the likelihood of sustaining a rotator cuff injury, including: […] Age: Older individuals are more susceptible to degenerative tears due to the natural aging process and decreased blood supply to the tendons. […] Occupation and Activities: Jobs or activities that involve repetitive arm movements, especially overhead motions, can predispose individuals to rotator cuff wear and tear. […] Previous Injuries: A history of shoulder injuries can increase the risk of future rotator cuff problems.
  • #58 Rotator Cuff Injuries: Causes, Symptoms & Treatment | Banner
    https://www.bannerhealth.com/services/orthopedics/shoulder-elbow/rotator-cuff
    If youre dealing with shoulder pain, this may be related to your rotator cuff. A rotator cuff injury affects the muscles and tendons surrounding your shoulder joint making it difficult to reach for things on a shelf or brush your hair. […] A rotator cuff injury happens when the muscles and tendons are damaged. When these get hurt or torn, it can cause pain and make it harder to move your shoulder. […] Several factors can lead to a rotator cuff injury or increase your risk of developing one: […] Common causes of pain and injury in the rotator cuff include: […] Trauma: A sudden event or acute injury, such as falling on an outstretched arm or lifting something heavy, can cause an acute rotator cuff tear. […] Repetitive motion: Repeating the same arm motions, especially overhead movements, can wear down the muscles and tendons over time. Sports like tennis, baseball and swimming, as well as jobs like painting or carpentry, can lead to degenerative tears.
  • #59 Rotator Cuff Injuries/Tears: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/orthopedics/columbia-orthopedics/rotator-cuff-injuries-tears
    It is more common, however, for rotator cuff tears to be the result of the tendon wearing down over a prolonged period with repeated use. Repetitive shoulder movements cause the tendon to become irritated and damaged. These degenerative tears are most common among adults who consistently repeat the same shoulder movements, such as carpenters, painters, and mechanics. Professional and/or recreational athletes are also at risk for degenerative rotator cuff tears.
  • #60 What to know about rotator cuff injuries – UChicago Medicine
    https://www.uchicagomedicine.org/forefront/orthopaedics-articles/2025/april/rotator-cuff-injuries
    Rotator cuff problems are often caused by traumatic events, repetitive motions and aging. […] In younger patients, a traumatic incident such as a fall, accident or a seizure, especially when that acute injury leads to a shoulder dislocation, can injure the rotator cuff. […] For middle-aged patients, rotator cuff tears are most common in people who perform heavy physical work, such as carpenters and painters. For example, overusing the shoulder can cause bone spurs in the joint that aggravate the rotator cuff. Symptoms tend to get worse over time because of long-term overuse. […] For older people, rotator cuff problems are often simply a symptom of aging, because our tendon tissues tend to degenerate over time. For this reason, rotator cuff injuries are most common in people over 60.
  • #61 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    Occupation. Jobs that involve repetitive shoulder motions also can put people at risk for rotator cuff tears. […] Age. People over age 40 are more prone to developing rotator cuff tears. […] Heavy lifting. Lifting heavy items regularly can lead to tears. […] Muscle weakness. Weakened shoulder muscles due to reduced activity or lack of exercise can increase the risk of rotator cuff tears. […] It’s important to note that untreated rotator cuff tears can lead to further complications, including chronic pain, limited arm functionality and range of motion, and potential damage to the shoulder joint. Seeking a proper diagnosis and treatment is vital to preventing these complications. […] A tear also can increase over time so a partial rotator cuff tear may progress to a total tear.
  • #62 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #63 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    Overuse: Repetitive shoulder movements during sports or on the job can stress your muscles and tendons, causing a tear. […] Anyone can experience a rotator cuff tear. These factors may increase your risk: […] Biological family history of shoulder problems or rotator cuff injuries. […] Degenerative tears are more common among people who do the same repetitive shoulder movements, such as: […] Carpenters. […] A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm. […] An accident, such as a fall, can cause a broken collarbone or dislocated shoulder that tears your rotator cuff.
  • #64 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keep it stable. […] A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury. […] Causes of this condition include: Keeping the arm in the same position for long periods, such as doing computer work or hairstyling, Sleeping on the same arm each night, Playing sports requiring the arm to be moved overhead repeatedly such as in tennis, baseball (particularly pitching), swimming, and lifting weights overhead, Working with the arm overhead for many hours or days, such as in painting and carpentry, Poor posture over many years, Aging, Rotator cuff tears. […] A sudden acute tear may happen when you fall on your arm while it is stretched out. Or, it can occur after a sudden, jerking motion when you try to lift something heavy.
  • #65 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keep it stable. […] A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury. […] Causes of this condition include: Keeping the arm in the same position for long periods, such as doing computer work or hairstyling, Sleeping on the same arm each night, Playing sports requiring the arm to be moved overhead repeatedly such as in tennis, baseball (particularly pitching), swimming, and lifting weights overhead, Working with the arm overhead for many hours or days, such as in painting and carpentry, Poor posture over many years, Aging, Rotator cuff tears. […] A sudden acute tear may happen when you fall on your arm while it is stretched out. Or, it can occur after a sudden, jerking motion when you try to lift something heavy.
  • #66
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw105845
    Most rotator cuff disorders are caused by a mix of overuse and normal wear and tear. […] Activities in which you use your arms above your head a lot such as tennis, swimming, or house painting can lead to rotator cuff problems. […] Using your shoulder for many years slowly damages the rotator cuff. […] It takes great force to tear a healthy rotator cuff tendon. This can happen during sports, a mishap, or a severe fall. […] But even a simple movement like lifting a suitcase can cause a rotator cuff tear in an older adult or someone whose shoulder is already damaged.
  • #67 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    Overuse: Repetitive shoulder movements during sports or on the job can stress your muscles and tendons, causing a tear. […] Anyone can experience a rotator cuff tear. These factors may increase your risk: […] Biological family history of shoulder problems or rotator cuff injuries. […] Degenerative tears are more common among people who do the same repetitive shoulder movements, such as: […] Carpenters. […] A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm. […] An accident, such as a fall, can cause a broken collarbone or dislocated shoulder that tears your rotator cuff.
  • #68 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #69 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #70 Rotator Cuff Tear: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/pain-management/rotator-cuff-tear
    A rotator cuff tear is a rip in the group of four muscles and tendons that stabilize your shoulder joint and let you lift and rotate your arms (your rotator cuff). […] Its a common injury, especially in sports like baseball or tennis, or in jobs like painting or cleaning windows. It usually happens over time from normal wear and tear, or if you repeat the same arm motion over and over. But it also can happen suddenly if you fall on your arm or lift something heavy. […] You can tear your rotator cuff in two ways: an acute tear or a degenerative tear. […] Injuries to the shoulder, such as falling on your arm, can cause you to have an acute rotator cuff tear. […] This tear occurs when you wear down your tendons over time. Your risk of having a worn-down rotator cuff goes up with: […] Jobs like house painters and construction workers put you at a higher chance of rotator cuff tears.
  • #71 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keep it stable. […] A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury. […] Causes of this condition include: Keeping the arm in the same position for long periods, such as doing computer work or hairstyling, Sleeping on the same arm each night, Playing sports requiring the arm to be moved overhead repeatedly such as in tennis, baseball (particularly pitching), swimming, and lifting weights overhead, Working with the arm overhead for many hours or days, such as in painting and carpentry, Poor posture over many years, Aging, Rotator cuff tears. […] A sudden acute tear may happen when you fall on your arm while it is stretched out. Or, it can occur after a sudden, jerking motion when you try to lift something heavy.
  • #72 4 Common Causes of Rotator Cuff Tears | Struan Coleman, MD, PhDAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
    https://struancoleman.com/4-common-causes-of-rotator-cuff-tears/
    Whether you’re trying to throw a baseball or reaching into an overhead cabinet for a can, a rotator cuff tear can force you to sit out your game or cook something different. […] Some two to four million people suffer rotator cuff problems each year, and anyone who’s suffered a tear can attest that its discomfort can be life-altering. […] Dr. Coleman’s patients’ rotator cuff tears are most frequently caused by one of four things: […] Manual laborers, like carpenters who perform repetitive physical tasks, or health care workers who routinely lift patients, are more prone to rotator cuff tears. […] Whether you’re a weekend warrior or a workout devotee, you’re more likely to suffer a rotator cuff tear due to repetitive motions related to athletic activities, like pitching a baseball or lifting weights over and over.
  • #73 Rotator Cuff Injuries/Tears: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/orthopedics/columbia-orthopedics/rotator-cuff-injuries-tears
    It is more common, however, for rotator cuff tears to be the result of the tendon wearing down over a prolonged period with repeated use. Repetitive shoulder movements cause the tendon to become irritated and damaged. These degenerative tears are most common among adults who consistently repeat the same shoulder movements, such as carpenters, painters, and mechanics. Professional and/or recreational athletes are also at risk for degenerative rotator cuff tears.
  • #74 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #75 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    As we get older, the blood supply in our rotator cuff tendons decreases. Without a good blood supply, the body’s natural ability to repair tendon damage is impaired. This can ultimately lead to a tendon tear. […] Because most rotator cuff tears are largely caused by the normal wear and tear that goes along with aging, people over 40 are at greater risk. […] People who do repetitive lifting or overhead activities are also at risk for rotator cuff tears. Athletes are especially vulnerable to overuse tears, particularly tennis players and baseball pitchers. […] Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall.
  • #76 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    A rotator cuff injury can happen from: […] Trauma. Direct blows to the shoulder can lead to severe tears in the rotator cuff. […] Falling. Falling on an outstretched arm can cause significant damage to the rotator cuff tendons. […] Lifting heavy objects. Attempting to lift something too heavy with a sudden, jerking motion can cause a tear. […] Repetitive overhead motion. Doing repetitive overhead arm movements, such as those involved in some sports, can contribute to rotator cuff tears. […] Degenerative wear and tear. Chronic degeneration of the rotator cuff tendons over time can lead to tears known as degenerative tears. […] Overuse. Repetitive motion from overuse causes wear and tear on the tendons. […] Many factors may put you at risk for a rotator cuff tear, including: […] Sports with overhead activities. Playing sports involving repetitive overhead arm motion, like baseball, swimming, or tennis, increases the risk of rotator cuff tears.
  • #77 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #78 Rotator Cuff Injury – Harvard Health
    https://www.health.harvard.edu/a_to_z/rotator-cuff-injury-a-to-z
    Tendons in the rotator cuff can be injured easily because they move within a tight space. […] Occasionally, the rotator cuff tendons can bump or rub against a bony knob (the acromion) above them or against a ligament at the front of the shoulder. […] This friction is known as impingement syndrome and causes inflammation in the rotator cuff. Rotator cuff friction is most likely to cause inflammation if your shoulder movement is rough or repetitive. […] Several types of shoulder use commonly trigger rotator cuff injury: […] Repetitive reaching […] Overhead arm positions narrow the tight space that the rotator cuff tendons must pass through. […] Forceful or abrupt overhead arm movements […] Tears are particularly common in athletes in throwing sports, racquet sports and wrestling. […] In addition, your shoulder can be injured more easily if it is out of shape. […] The narrow space that envelops the rotator cuff tendons becomes even narrower if your shoulder muscles are weakened or tight.
  • #79 Rotator Cuff Injury – Harvard Health
    https://www.health.harvard.edu/a_to_z/rotator-cuff-injury-a-to-z
    Tendons in the rotator cuff can be injured easily because they move within a tight space. […] Occasionally, the rotator cuff tendons can bump or rub against a bony knob (the acromion) above them or against a ligament at the front of the shoulder. […] This friction is known as impingement syndrome and causes inflammation in the rotator cuff. Rotator cuff friction is most likely to cause inflammation if your shoulder movement is rough or repetitive. […] Several types of shoulder use commonly trigger rotator cuff injury: […] Repetitive reaching […] Overhead arm positions narrow the tight space that the rotator cuff tendons must pass through. […] Forceful or abrupt overhead arm movements […] Tears are particularly common in athletes in throwing sports, racquet sports and wrestling. […] In addition, your shoulder can be injured more easily if it is out of shape. […] The narrow space that envelops the rotator cuff tendons becomes even narrower if your shoulder muscles are weakened or tight.
  • #80 Rotator Cuff Injury: Treatments, Symptoms, and Diagnosis
    https://www.healthline.com/health/rotator-cuff-injury
    Rotator cuff strains or tears are generally caused by: […] Rotator cuff injuries can range from mild to severe. They tend to fall into one of two categories: acute or chronic. Tendinitis (acute) or tendinopathy (chronic) is typically caused by overuse of the rotator cuff muscle. This causes it to become irritated. The tendons that connect muscles to bones can overstretch (strain) or tear, partially or completely. […] Tennis players who use an overhead serve and painters who have to reach upward to do their jobs commonly experience this injury. The rotator cuff can also be strained or tear after a fall, a car accident, or another sudden injury. These injuries typically cause intense and immediate pain. […] Acute injuries usually occur from one particular incident. These can be caused by lifting objects that are too heavy, falling, or having the shoulder forced into an awkward position. Young people are more likely to experience this type of rotator cuff injury. […] Degenerative injuries are due to long-term overuse. People most at risk for these injuries include: athletes, particularly tennis players, baseball players, rowers, and wrestlers; people with jobs that require repetitive lifting, like painters and carpenters; people above 40 years of age.
  • #81 Rotator Cuff Injuries | MedlinePlus
    https://medlineplus.gov/rotatorcuffinjuries.html
    Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over and over – especially reaching over your head. With time, the tissues in the rotator cuff break down, leading to these injuries: […] People over age 40. Most rotator cuff injuries are from the wear and tear of aging. By age 80, most adults have tears. […] Athletes. Playing sports with repeated shoulder movements increases the risk of a rotator cuff injury, for example, tennis, swimming, and baseball – especially pitching. […] People in jobs that require a lot of reaching overhead or heavy lifting. Carpenters, construction workers, and painters are examples of workers who may be more likely to have rotator cuff problems.
  • #82 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keep it stable. […] A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury. […] Causes of this condition include: Keeping the arm in the same position for long periods, such as doing computer work or hairstyling, Sleeping on the same arm each night, Playing sports requiring the arm to be moved overhead repeatedly such as in tennis, baseball (particularly pitching), swimming, and lifting weights overhead, Working with the arm overhead for many hours or days, such as in painting and carpentry, Poor posture over many years, Aging, Rotator cuff tears. […] A sudden acute tear may happen when you fall on your arm while it is stretched out. Or, it can occur after a sudden, jerking motion when you try to lift something heavy.
  • #83 Rotator Cuff Tears – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
    A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] There are two main causes of rotator cuff tears: injury (acute) and wear (degeneration). […] If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. […] Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and in most cases is relatively painless. […] Several factors contribute to degenerative, or wear-related, rotator cuff tears. […] Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons.
  • #84 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keep it stable. […] A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury. […] Causes of this condition include: Keeping the arm in the same position for long periods, such as doing computer work or hairstyling, Sleeping on the same arm each night, Playing sports requiring the arm to be moved overhead repeatedly such as in tennis, baseball (particularly pitching), swimming, and lifting weights overhead, Working with the arm overhead for many hours or days, such as in painting and carpentry, Poor posture over many years, Aging, Rotator cuff tears. […] A sudden acute tear may happen when you fall on your arm while it is stretched out. Or, it can occur after a sudden, jerking motion when you try to lift something heavy.
  • #85 Rotator Cuff Injury – Harvard Health
    https://www.health.harvard.edu/a_to_z/rotator-cuff-injury-a-to-z
    Tendons in the rotator cuff can be injured easily because they move within a tight space. […] Occasionally, the rotator cuff tendons can bump or rub against a bony knob (the acromion) above them or against a ligament at the front of the shoulder. […] This friction is known as impingement syndrome and causes inflammation in the rotator cuff. Rotator cuff friction is most likely to cause inflammation if your shoulder movement is rough or repetitive. […] Several types of shoulder use commonly trigger rotator cuff injury: […] Repetitive reaching […] Overhead arm positions narrow the tight space that the rotator cuff tendons must pass through. […] Forceful or abrupt overhead arm movements […] Tears are particularly common in athletes in throwing sports, racquet sports and wrestling. […] In addition, your shoulder can be injured more easily if it is out of shape. […] The narrow space that envelops the rotator cuff tendons becomes even narrower if your shoulder muscles are weakened or tight.
  • #86 Rotator Cuff Injury – Harvard Health
    https://www.health.harvard.edu/a_to_z/rotator-cuff-injury-a-to-z
    Tendons in the rotator cuff can be injured easily because they move within a tight space. […] Occasionally, the rotator cuff tendons can bump or rub against a bony knob (the acromion) above them or against a ligament at the front of the shoulder. […] This friction is known as impingement syndrome and causes inflammation in the rotator cuff. Rotator cuff friction is most likely to cause inflammation if your shoulder movement is rough or repetitive. […] Several types of shoulder use commonly trigger rotator cuff injury: […] Repetitive reaching […] Overhead arm positions narrow the tight space that the rotator cuff tendons must pass through. […] Forceful or abrupt overhead arm movements […] Tears are particularly common in athletes in throwing sports, racquet sports and wrestling. […] In addition, your shoulder can be injured more easily if it is out of shape. […] The narrow space that envelops the rotator cuff tendons becomes even narrower if your shoulder muscles are weakened or tight.
  • #87 Patient education: Rotator cuff tendinitis and tear (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/rotator-cuff-tendinitis-and-tear-beyond-the-basics/print
    Tendons are tough bands of tissue that connect muscles to bones. Repetitive activities and overuse can injure tendons and lead to pain and impaired function. This is called tendinitis or tendinopathy. Although the most common cause of tendinitis is overuse, it can also be caused by other conditions. […] Rotator cuff tendinitis (or tendinopathy) occurs when the tendons are injured, usually as a result of repetitive overhead reaching, pushing, or lifting with outstretched arms. Athletes who perform overhead activity, such as swimming, tennis, throwing, golf, weightlifting, volleyball, and gymnastics, are also at risk. Tendinitis is usually treated with relative rest (avoiding aggravating activities), ice, antiinflammatory drugs, and physical therapy. […] The rotator cuff tendon(s) may be torn as a result of injury, chronic tendinopathy, or a combination of both. Typically, the injury is caused by a fall, direct blow, or a rapid use of force (pulling on a starter cable, for instance).
  • #88 Patient education: Rotator cuff tendinitis and tear (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/rotator-cuff-tendinitis-and-tear-beyond-the-basics/print
    Tendons are tough bands of tissue that connect muscles to bones. Repetitive activities and overuse can injure tendons and lead to pain and impaired function. This is called tendinitis or tendinopathy. Although the most common cause of tendinitis is overuse, it can also be caused by other conditions. […] Rotator cuff tendinitis (or tendinopathy) occurs when the tendons are injured, usually as a result of repetitive overhead reaching, pushing, or lifting with outstretched arms. Athletes who perform overhead activity, such as swimming, tennis, throwing, golf, weightlifting, volleyball, and gymnastics, are also at risk. Tendinitis is usually treated with relative rest (avoiding aggravating activities), ice, antiinflammatory drugs, and physical therapy. […] The rotator cuff tendon(s) may be torn as a result of injury, chronic tendinopathy, or a combination of both. Typically, the injury is caused by a fall, direct blow, or a rapid use of force (pulling on a starter cable, for instance).
  • #89 Patient education: Rotator cuff tendinitis and tear (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/rotator-cuff-tendinitis-and-tear-beyond-the-basics/print
    Tendons are tough bands of tissue that connect muscles to bones. Repetitive activities and overuse can injure tendons and lead to pain and impaired function. This is called tendinitis or tendinopathy. Although the most common cause of tendinitis is overuse, it can also be caused by other conditions. […] Rotator cuff tendinitis (or tendinopathy) occurs when the tendons are injured, usually as a result of repetitive overhead reaching, pushing, or lifting with outstretched arms. Athletes who perform overhead activity, such as swimming, tennis, throwing, golf, weightlifting, volleyball, and gymnastics, are also at risk. Tendinitis is usually treated with relative rest (avoiding aggravating activities), ice, antiinflammatory drugs, and physical therapy. […] The rotator cuff tendon(s) may be torn as a result of injury, chronic tendinopathy, or a combination of both. Typically, the injury is caused by a fall, direct blow, or a rapid use of force (pulling on a starter cable, for instance).
  • #90 Rotator Cuff Tear: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/pain-management/rotator-cuff-tear
    As you get older, you get less blood to your rotator cuff area, which makes small tears hard to repair, leading to larger tears. […] Bone overgrowth in the shoulder, which happens more often as you get older, can wear away the rotator cuff tissues and cause tears. […] Rotator cuff tears are most common in people over 60. […] Doctors think there could be a genetic piece to rotator cuff tears. They happen more often in certain families. […] Baseball, tennis, rowing, and weightlifting are sports that stress your rotator cuff and put you at risk of tears. […] Rotator cuff tears often happen to athletes and people who play tennis, football, basketball, volleyball and other contact sports or overhead sports (involving moving your arms and shoulders over your head). […] Rotator cuff injuries can happen during sports from falls, collisions, direct blows, or overuse and strain on the shoulder.
  • #91 Rotator Cuff Tear | Orthopedics & Sports Medicine
    https://health.uconn.edu/orthopedics-sports-medicine/conditions-and-treatments/where-does-it-hurt/shoulder/rotator-cuff-tear/
    Rotator cuff tears get a lot of attention. Theyre relatively common in people over 40 and can result from overuse or a single traumatic event. […] Rotator cuff tears as a result of overuse are most common in older individuals and athletes competing in overhead sports such as baseball, tennis, basketball, golf, and swimming. Tears resulting from trauma are typically attributed to falls or collision sports such as football, lacrosse, and ice hockey. It is also very common to tear one or more of the rotator cuff tendons when you dislocated your shoulder.
  • #92 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #93 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    Overuse: Repetitive shoulder movements during sports or on the job can stress your muscles and tendons, causing a tear. […] Anyone can experience a rotator cuff tear. These factors may increase your risk: […] Biological family history of shoulder problems or rotator cuff injuries. […] Degenerative tears are more common among people who do the same repetitive shoulder movements, such as: […] Carpenters. […] A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm. […] An accident, such as a fall, can cause a broken collarbone or dislocated shoulder that tears your rotator cuff.
  • #94 Rotator Cuff Tear: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/pain-management/rotator-cuff-tear
    As you get older, you get less blood to your rotator cuff area, which makes small tears hard to repair, leading to larger tears. […] Bone overgrowth in the shoulder, which happens more often as you get older, can wear away the rotator cuff tissues and cause tears. […] Rotator cuff tears are most common in people over 60. […] Doctors think there could be a genetic piece to rotator cuff tears. They happen more often in certain families. […] Baseball, tennis, rowing, and weightlifting are sports that stress your rotator cuff and put you at risk of tears. […] Rotator cuff tears often happen to athletes and people who play tennis, football, basketball, volleyball and other contact sports or overhead sports (involving moving your arms and shoulders over your head). […] Rotator cuff injuries can happen during sports from falls, collisions, direct blows, or overuse and strain on the shoulder.
  • #95 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #96 Rotator Cuff Tear: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/pain-management/rotator-cuff-tear
    As you get older, you get less blood to your rotator cuff area, which makes small tears hard to repair, leading to larger tears. […] Bone overgrowth in the shoulder, which happens more often as you get older, can wear away the rotator cuff tissues and cause tears. […] Rotator cuff tears are most common in people over 60. […] Doctors think there could be a genetic piece to rotator cuff tears. They happen more often in certain families. […] Baseball, tennis, rowing, and weightlifting are sports that stress your rotator cuff and put you at risk of tears. […] Rotator cuff tears often happen to athletes and people who play tennis, football, basketball, volleyball and other contact sports or overhead sports (involving moving your arms and shoulders over your head). […] Rotator cuff injuries can happen during sports from falls, collisions, direct blows, or overuse and strain on the shoulder.
  • #97 Rotator Cuff Pathology: Practice Essentials, Anatomy, Pathophysiology
    https://emedicine.medscape.com/article/1262849-overview
    Possible causes of rotator cuff pathology include the following: […] Outlet impingement […] Subacromial spurs […] Type 2 and type 3 acromions […] Osteoarthritic spurs of the acromioclavicular joint (including subacromial spurs) […] Thickened or calcified coracoacromial ligament […] Nonoutlet impingement […] Loss of rotator cuff causing superior migration of the humerus (eg, tear, loss of strength) […] Secondary impingement from an unstable shoulder […] Acromial defects (os acromiale) […] Anterior or posterior capsular contractures (eg, adhesive capsulitis) […] Thick subacromial bursa. […] Genetic factors may play a role in the pathogenesis of rotator cuff disease. A systematic review by Longo et al found significant associations between single-nucleotide polymorphisms and rotator cuff disease for DEFB1, FGFR1, FGFR3, ESRRB, FGF10, MMP-1, TNC, FCRL3, SASH1, SAP30BP, and rs71404070 located next to cadherin8; results reported for MMP-3 were contradictory.
  • #98 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #99 Understanding the Causes of a Rotator Cuff Injury: J. Michael Bennett, MD, PA: Orthopaedic Surgeon
    https://www.orthopedicsportsdoctor.com/blog/understanding-the-causes-of-a-rotator-cuff-injury
    While pretty much anyone can have a rotator cuff injury, there are risk factors that make these injuries more likely, including: Older age, Repetitive overhead activities, Repetitive throwing or lifting, Smoking, Family history of shoulder problems, Poor posture, Bone spurs, bony overgrowths that rub on tendons. […] Using your arms a lot over your head, repetitive lifting, and participating in a sport that involves throwing, rowing, or swinging an object also increase your risk of rotator cuff injuries.
  • #100 Rotator Cuff Injuries: Causes, Symptoms & Treatment | Banner
    https://www.bannerhealth.com/services/orthopedics/shoulder-elbow/rotator-cuff
    Aging process: With age, our tendons (like a rope) can become thinner and wear out eventually becoming a degenerative tear. […] The risk of an injury increases, especially in people older than 60. As tendons weaken over time, they become more likely to tear. […] Athletes who frequently use overhead arm movements can be more prone to injury. […] Some inflammatory diseases such as rheumatoid arthritis or lupus can be associated with rotator cuff tears. […] Repetitive steroid use has also been associated with rotator cuff tears.
  • #101 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #102 Rotator Cuff Injuries: Causes and Risk Factors
    https://www.sports-health.com/sports-injuries/shoulder-injuries/rotator-cuff-injuries-causes-and-risk-factors
    Tiny tears develop in the rotator cuff, making it weaker and more prone to larger tears. These larger tears can occur without any notable trauma. […] Rotator cuff degeneration is sometimes associated with impingement. […] Rotator cuff injuries are common in athletes involved in throwing sports where high-velocity arm motions are used to propel objects. […] The injury is more common in people who engage in repetitive overhead shoulder motions, such as hammering, painting, swimming, playing tennis, or pitching a baseball. […] People with shoulder arthritis are likely to develop shoulder instability, muscle weakness, and abnormal bone growths, called osteophytes. All of these factors increase stress on the rotator cuff, making it more prone to injury. […] People with a family member diagnosed with rotator cuff injury are likely to develop the condition. […] A higher incidence of rotator cuff injuries is seen in people who regularly smoke.
  • #103 Rotator cuff injury | healthdirect
    https://www.healthdirect.gov.au/rotator-cuff-injury
    Rotator cuff injuries can be due to […] an accident such as a fall […] repetitive lifting or overhead activities from sports like tennis or swimming and jobs like painting […] general wear and tear with age. […] Smoking and being overweight can increase your risk of rotator cuff problems.
  • #104 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Interestingly, poor posture has also been shown to be a predictor of rotator cuff disease. Tears were present in 65.8% of patients with kyphotic-lordotic postures, 54.3% with flat-back postures, and 48.9% with sway-back postures; tears were present in only 2.9% of patients with ideal alignment. […] Other risk factors include trauma, hypercholesterolemia, and occupations or activities requiring significant overhead activity. […] Partial tears are at risk for further propagation. These risk factors include: tear size, symptoms, location, and age. Tear size: A small tear may remain dormant, while larger tears are more likely to undergo structural deterioration. […] The critical size for sending a small tear towards a larger or complete tear has yet to be defined. […] Tear propagation correlates with symptom development. Actively enlarging tears have a five times higher likelihood of developing symptoms than those tears that remain the same size.
  • #105
    https://www.healthxchange.sg/bones-joints/shoulder-elbow-hands/rotator-cuff-injury-causes-symptoms-treatment
    Rotator Cuff Injury: Causes, Symptoms, Treatment Wear and tear due to ageing is a common cause for rotator cuff problems. […] Normal wear and tear: As the tendon of the rotator cuff has poor blood supply, it tends to be prone to degeneration due to ageing. The degeneration can be aggravated by repetitive shoulder movements. Hence this condition typically occurs if you are above 40. […] Repetitive movements: Athletes who regularly use overhead repetitive movements such as swimmers, rowers or tennis players are at higher risk of rotator cuff injuries. However, the injury can also happen through seemingly trivial activities like carrying a heavy load overhead or hanging clothes outside. […] Trauma: The rotator cuff can also be damaged from a single traumatic injury such as a fall or a hard direct hit to the arm. […] Heavy lifting or pulling: Lifting or pulling an object that is too heavy or lifting in the wrong way can cause strain or a tear to the rotator cuff muscle or tendon. […] Poor posture: Slouching forward of the head and neck can cause the muscle or tendon to be pinched leading to inflammation.
  • #106 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Interestingly, poor posture has also been shown to be a predictor of rotator cuff disease. Tears were present in 65.8% of patients with kyphotic-lordotic postures, 54.3% with flat-back postures, and 48.9% with sway-back postures; tears were present in only 2.9% of patients with ideal alignment. […] Other risk factors include trauma, hypercholesterolemia, and occupations or activities requiring significant overhead activity. […] Partial tears are at risk for further propagation. These risk factors include: tear size, symptoms, location, and age. Tear size: A small tear may remain dormant, while larger tears are more likely to undergo structural deterioration. […] The critical size for sending a small tear towards a larger or complete tear has yet to be defined. […] Tear propagation correlates with symptom development. Actively enlarging tears have a five times higher likelihood of developing symptoms than those tears that remain the same size.
  • #107 Rotator Cuff Pathology: Practice Essentials, Anatomy, Pathophysiology
    https://emedicine.medscape.com/article/1262849-overview
    Possible causes of rotator cuff pathology include the following: […] Outlet impingement […] Subacromial spurs […] Type 2 and type 3 acromions […] Osteoarthritic spurs of the acromioclavicular joint (including subacromial spurs) […] Thickened or calcified coracoacromial ligament […] Nonoutlet impingement […] Loss of rotator cuff causing superior migration of the humerus (eg, tear, loss of strength) […] Secondary impingement from an unstable shoulder […] Acromial defects (os acromiale) […] Anterior or posterior capsular contractures (eg, adhesive capsulitis) […] Thick subacromial bursa. […] Genetic factors may play a role in the pathogenesis of rotator cuff disease. A systematic review by Longo et al found significant associations between single-nucleotide polymorphisms and rotator cuff disease for DEFB1, FGFR1, FGFR3, ESRRB, FGF10, MMP-1, TNC, FCRL3, SASH1, SAP30BP, and rs71404070 located next to cadherin8; results reported for MMP-3 were contradictory.
  • #108 Rotator Cuff Injury Treatment | UVA Health
    https://uvahealth.com/services/sports-medicine/rotator-cuff-injury
    Sometimes, an injury or overuse can cause your rotator cuff to be injured. The actual cause of injury could be anything from tendinitis to a rotator cuff tear. […] Serious trauma, like a direct blow to the shoulder or a dislocation can cause a rotator cuff injury. But it can also be caused by degenerative wear overtime. Especially if there’s repetitive overhead arm motion. […] In addition to activities or jobs, some other things that make rotator cuff injuries more likely are: Being over 40, Previous shoulder injuries, Shoulder instability, Heavy lifting, Arthritis. […] Unfortunately, many of the causes of rotator cuff injury aren’t preventable. Arthritis, older age, and joint instability are factors that can affect anyone.
  • #109 Rotator cuff injury | healthdirect
    https://www.healthdirect.gov.au/rotator-cuff-injury
    Rotator cuff injuries can be due to […] an accident such as a fall […] repetitive lifting or overhead activities from sports like tennis or swimming and jobs like painting […] general wear and tear with age. […] Smoking and being overweight can increase your risk of rotator cuff problems.
  • #110 Rotator Cuff Injuries: Causes, Symptoms & Treatment | Banner
    https://www.bannerhealth.com/services/orthopedics/shoulder-elbow/rotator-cuff
    Aging process: With age, our tendons (like a rope) can become thinner and wear out eventually becoming a degenerative tear. […] The risk of an injury increases, especially in people older than 60. As tendons weaken over time, they become more likely to tear. […] Athletes who frequently use overhead arm movements can be more prone to injury. […] Some inflammatory diseases such as rheumatoid arthritis or lupus can be associated with rotator cuff tears. […] Repetitive steroid use has also been associated with rotator cuff tears.
  • #111 Rotator Cuff Injuries: Causes, Symptoms & Treatment | Banner
    https://www.bannerhealth.com/services/orthopedics/shoulder-elbow/rotator-cuff
    Aging process: With age, our tendons (like a rope) can become thinner and wear out eventually becoming a degenerative tear. […] The risk of an injury increases, especially in people older than 60. As tendons weaken over time, they become more likely to tear. […] Athletes who frequently use overhead arm movements can be more prone to injury. […] Some inflammatory diseases such as rheumatoid arthritis or lupus can be associated with rotator cuff tears. […] Repetitive steroid use has also been associated with rotator cuff tears.
  • #112 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    Occupation. Jobs that involve repetitive shoulder motions also can put people at risk for rotator cuff tears. […] Age. People over age 40 are more prone to developing rotator cuff tears. […] Heavy lifting. Lifting heavy items regularly can lead to tears. […] Muscle weakness. Weakened shoulder muscles due to reduced activity or lack of exercise can increase the risk of rotator cuff tears. […] It’s important to note that untreated rotator cuff tears can lead to further complications, including chronic pain, limited arm functionality and range of motion, and potential damage to the shoulder joint. Seeking a proper diagnosis and treatment is vital to preventing these complications. […] A tear also can increase over time so a partial rotator cuff tear may progress to a total tear.
  • #113
    https://www.hingehealth.com/resources/articles/rotator-cuff-pain/
    Impingement. This condition occurs when the rotator cuff muscles in the shoulder become squeezed, which can lead to irritation, inflammation, and pain in the muscles and tendons. It also tends to be related to repetitive overhead movements. […] Below are some common factors that might contribute to rotator cuff problems for some people. Its important to remember that while certain activities or conditions may increase the likelihood of experiencing shoulder issues, engaging in activities that involve your shoulders does not mean youll inevitably experience a rotator cuff injury. […] Muscle weaknesses and imbalances. Strengthening exercises are very important, particularly if you do activities that involve your shoulders. Not having enough strength or having muscle imbalances near your shoulder can cause your rotator cuff muscles to undergo additional stress during activities, which may contribute to pain over time.
  • #114 Rotator Cuff Injury | What are the causes? | Shoulder Rehab Specialist
    https://www.physioclinic.ie/conditions/rotator-cuff-injury/
    The rotator cuff is a group of four muscles that provide stabilisation & support to the shoulder joint. A cuff injury refers to an injury of the cuff muscles or their tendon insertions onto bone. […] Injury to the rotator cuff may occur due to poor lifting technique, muscle imbalance or repetitive activities. […] Some people can be predisposed to rotator cuff tears owing to the angle of the socket into which the top of the arm bone (humerus) sits. […] Surprisingly, many people present with an onset of pain but no prior history of trauma. […] As the study below shows, a huge proportion of individuals over the age of 60 have rotator cuff tears. […] The repeated overhead forceful motion involved in baseball has been implicated in the presence of cuff tears in players. […] Most people with rotator cuff tendinopathy will report a gradual onset of pain.
  • #115 Rotator Cuff Disease: Practice Essentials, Pathophysiology, The extrinsic hypothesis
    https://emedicine.medscape.com/article/328253-overview
    In 1834, Smith wrote the first description of a rupture of the rotator cuff tendon. Since then, with the work of such authors as Duplay, Von Meyer, Codman, and Neer, degenerative changes to the rotator cuff have been better characterized; however, the exact mechanisms leading to the degeneration of the rotator cuff still are debated today. […] The pathophysiology of rotator cuff degeneration is a controversial topic that still is not fully understood. Two hypotheses (ie, extrinsic, intrinsic) coexist and are supported by different authors. […] In this theory, the lesion results mainly from repeated impingement of the rotator cuff tendon against different structures of the glenohumeral joint. […] Neer believed that 95% of tears of the rotator cuff were initiated by impingement wear, rather than circulatory impairment or trauma.
  • #116 Rotator Cuff Disease: Practice Essentials, Pathophysiology, The extrinsic hypothesis
    https://emedicine.medscape.com/article/328253-overview
    In 1834, Smith wrote the first description of a rupture of the rotator cuff tendon. Since then, with the work of such authors as Duplay, Von Meyer, Codman, and Neer, degenerative changes to the rotator cuff have been better characterized; however, the exact mechanisms leading to the degeneration of the rotator cuff still are debated today. […] The pathophysiology of rotator cuff degeneration is a controversial topic that still is not fully understood. Two hypotheses (ie, extrinsic, intrinsic) coexist and are supported by different authors. […] In this theory, the lesion results mainly from repeated impingement of the rotator cuff tendon against different structures of the glenohumeral joint. […] Neer believed that 95% of tears of the rotator cuff were initiated by impingement wear, rather than circulatory impairment or trauma.
  • #117 Rotator Cuff Tendonitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532270/
    Rotator cuff tendonitis is often seen in association with shoulder impingement. Rotator cuff tendonitis can present in the acute setting following injury or, chronically, as a result of repetitive overuse activities or sport-related demands. […] While subacromial impingement syndrome (SIS) is the most common cause of shoulder pain, rotator cuff (RC) tendonitis is often seen in association with shoulder impingement. […] Acute injuries often occur secondary to direct trauma to the shoulder in contact sports, poor throwing mechanics in overhead sports (i.e., baseball, javelin throwers), or from falls on an outstretched arm. […] Chronically, rotator cuff tendinopathy can occur secondary to a variety of proposed mechanisms: The extrinsic theory of mechanical impingement and pathologic contact between the undersurface of the acromion and the rotator cuff results in repetitive injury to the cuff.
  • #118 Rotator Cuff Tendonitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532270/
    Rotator cuff tendonitis is often seen in association with shoulder impingement. Rotator cuff tendonitis can present in the acute setting following injury or, chronically, as a result of repetitive overuse activities or sport-related demands. […] While subacromial impingement syndrome (SIS) is the most common cause of shoulder pain, rotator cuff (RC) tendonitis is often seen in association with shoulder impingement. […] Acute injuries often occur secondary to direct trauma to the shoulder in contact sports, poor throwing mechanics in overhead sports (i.e., baseball, javelin throwers), or from falls on an outstretched arm. […] Chronically, rotator cuff tendinopathy can occur secondary to a variety of proposed mechanisms: The extrinsic theory of mechanical impingement and pathologic contact between the undersurface of the acromion and the rotator cuff results in repetitive injury to the cuff.
  • #119 Shoulder Impingement (Rotator Cuff Tendinitis)
    https://my.clevelandclinic.org/health/diseases/shoulder-impingement-rotator-cuff-tendinitis
    Shoulder impingement happens when bones in your shoulder rub against or pinch your rotator cuff. […] Rotator cuff tendinitis is exactly what its name sounds like tendinitis that affects your rotator cuff. Tendinitis is swelling or irritation of a tendon. […] Shoulder impingement is almost always an overuse injury. This means it happens over time when an activity or motion repeatedly puts too much stress on your shoulder joint and rotator cuff. […] Healthcare providers call the kinds of movements that cause shoulder impingement overhead rotation motions any repetitive motion that requires you to twist and turn your shoulders with your arms raised. […] Some people develop shoulder impingement without an obvious cause (idiopathically). Its also possible for trauma (like a fall, car accident or sports injury) to cause impingement suddenly. […] Anything that irritates your rotator cuff and the tissue in your shoulder joint can cause shoulder impingement.
  • #120
    https://www.healthshare.com.au/questions/56301-what-are-the-causes-of-rotator-cuff-tear/
    Acute Tear An injury to your shoulder will often cause a rotator cuff tear. Common mechanisms of injury include falls onto your outstretched arm or lifting something too heavy with a jerking motion. It can also occur with other shoulder injuries, such as a dislocated shoulder. […] Degenerative Tear Many tears are the result of degenerative wearing down of the tendon that occurs slowly over time, as we age. If you have a degenerative tear in one shoulder, there is a high likelihood of developing a rotator cuff tear in the opposite shoulder. Several factors contribute to degenerative, or chronic, rotator cuff tears. Repetitive stress. Repeating the same shoulder movements again and again can damage your rotator cuff muscles and tendons over time. Many physical jobs and routine chores can cause overuse tears. They are also commonly seen in sportspeople. Bone spurs. As we age, bone spurs (bone overgrowth) often develop on the underside of the acromion bone. When we lift our arms, the spurs rub on the rotator cuff tendon. This condition is called shoulder impingement, and over time will weaken the tendon and make it more likely to tear. Poor blood supply. As we age, the blood supply in our rotator cuff tendons weakens impairing the body’s natural ability to repair tendon damage.
  • #121 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    A rotator cuff tear is an injury to your rotator cuff that can cause shoulder pain and the inability to use your arm. […] A tear may result from overuse or another injury. […] More commonly, rotator cuff tears occur over time as your tendon wears down with age and use (degenerative tear). People over age 40 are most at risk. […] Causes of degenerative tears include: […] Bone spurs: Bony growths can form on the top of your shoulder bone. These bone spurs rub against your tendon when you lift your arm. This shoulder impingement creates friction between your bone and tendon. Eventually, a partial or complete tear may occur. […] Decreased blood flow: Blood flow to your rotator cuff decreases as you get older. Your muscles and tendons need a healthy blood supply to repair themselves. If blood doesn’t nourish your tendons, they can tear.
  • #122 Rotator Cuff Pathology: Practice Essentials, Anatomy, Pathophysiology
    https://emedicine.medscape.com/article/1262849-overview
    Possible causes of rotator cuff pathology include the following: […] Outlet impingement […] Subacromial spurs […] Type 2 and type 3 acromions […] Osteoarthritic spurs of the acromioclavicular joint (including subacromial spurs) […] Thickened or calcified coracoacromial ligament […] Nonoutlet impingement […] Loss of rotator cuff causing superior migration of the humerus (eg, tear, loss of strength) […] Secondary impingement from an unstable shoulder […] Acromial defects (os acromiale) […] Anterior or posterior capsular contractures (eg, adhesive capsulitis) […] Thick subacromial bursa. […] Genetic factors may play a role in the pathogenesis of rotator cuff disease. A systematic review by Longo et al found significant associations between single-nucleotide polymorphisms and rotator cuff disease for DEFB1, FGFR1, FGFR3, ESRRB, FGF10, MMP-1, TNC, FCRL3, SASH1, SAP30BP, and rs71404070 located next to cadherin8; results reported for MMP-3 were contradictory.
  • #123 Rotator cuff tear – Wikipedia
    https://en.wikipedia.org/wiki/Rotator_cuff_tear
    Several factors contribute to degenerative, or chronic, rotator cuff tears of which repetitive stress is the most significant. This stress consists of repeating the same shoulder motions frequently, such as overhead throwing, rowing, and weightlifting. […] Well-documented anatomic factors include the morphologic characteristics of the acromion, a bony projection from the scapula that curves over the shoulder joint. […] The principal is a degenerative-microtrauma model, which supposes that age-related tendon damage compounded by chronic microtrauma results in partial tendon tears that then develop into full rotator cuff tears.
  • #124 Rotator Cuff Disease: Practice Essentials, Pathophysiology, The extrinsic hypothesis
    https://emedicine.medscape.com/article/328253-overview
    In 1834, Smith wrote the first description of a rupture of the rotator cuff tendon. Since then, with the work of such authors as Duplay, Von Meyer, Codman, and Neer, degenerative changes to the rotator cuff have been better characterized; however, the exact mechanisms leading to the degeneration of the rotator cuff still are debated today. […] The pathophysiology of rotator cuff degeneration is a controversial topic that still is not fully understood. Two hypotheses (ie, extrinsic, intrinsic) coexist and are supported by different authors. […] In this theory, the lesion results mainly from repeated impingement of the rotator cuff tendon against different structures of the glenohumeral joint. […] Neer believed that 95% of tears of the rotator cuff were initiated by impingement wear, rather than circulatory impairment or trauma.
  • #125 Rotator Cuff Disease: Practice Essentials, Pathophysiology, The extrinsic hypothesis
    https://emedicine.medscape.com/article/328253-overview
    In this theory, the lesions result from progressive, age-related degeneration of the tendon. […] Many histologic studies show the age-related degeneration of the cuff tendon; however, it is not the purpose of this article to describe those numerous changes. […] In all probability, the intrinsic and the extrinsic theories coexist and explain the pathophysiology of rotator cuff degeneration.
  • #126 Rotator Cuff Tendonitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532270/
    Several theories exist to support intrinsic degeneration of the cuff as the primary source of shoulder impingement. […] The literature favors increasing frequencies of rotator cuff abnormalities with increasing age. […] A study by Budoff et al. proposed that the primary mode of failure of the cuff occurs intrinsically within the cuff itself as it repeatedly withstands significant eccentric tensile forces during physical activity.
  • #127 Rotator Cuff Disease: Practice Essentials, Pathophysiology, The extrinsic hypothesis
    https://emedicine.medscape.com/article/328253-overview
    In this theory, the lesions result from progressive, age-related degeneration of the tendon. […] Many histologic studies show the age-related degeneration of the cuff tendon; however, it is not the purpose of this article to describe those numerous changes. […] In all probability, the intrinsic and the extrinsic theories coexist and explain the pathophysiology of rotator cuff degeneration.
  • #128 Rotator cuff tear – Wikipedia
    https://en.wikipedia.org/wiki/Rotator_cuff_tear
    Rotator cuff tendinopathy is a process of senescence. The pathophysiology is mucoid degeneration. Most people develop rotator cuff tendinopathy within their lifetime. […] Epidemiological studies strongly support a relationship between age and cuff tear prevalence, with the most common cause being age-related degeneration and, less frequently, sports injuries or trauma. […] Those most prone to failed rotator cuff syndrome are people 65 years of age or older; and those with large, sustained tears. Smokers, people with diabetes, individuals with muscle atrophy or fatty infiltration, and those who do not follow postoperative-care recommendations also are at greater risk. […] The two main causes are acute injury or chronic and cumulative degeneration of the shoulder joint. Mechanisms can be extrinsic, intrinsic or a combination of both.
  • #129 Rotator Cuff Tendonitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532270/
    Several theories exist to support intrinsic degeneration of the cuff as the primary source of shoulder impingement. […] The literature favors increasing frequencies of rotator cuff abnormalities with increasing age. […] A study by Budoff et al. proposed that the primary mode of failure of the cuff occurs intrinsically within the cuff itself as it repeatedly withstands significant eccentric tensile forces during physical activity.
  • #130 Rotator Cuff Disease: Practice Essentials, Pathophysiology, The extrinsic hypothesis
    https://emedicine.medscape.com/article/328253-overview
    In this theory, the lesions result from progressive, age-related degeneration of the tendon. […] Many histologic studies show the age-related degeneration of the cuff tendon; however, it is not the purpose of this article to describe those numerous changes. […] In all probability, the intrinsic and the extrinsic theories coexist and explain the pathophysiology of rotator cuff degeneration.
  • #131 Rotator cuff tear – Wikipedia
    https://en.wikipedia.org/wiki/Rotator_cuff_tear
    Rotator cuff tendinopathy is a process of senescence. The pathophysiology is mucoid degeneration. Most people develop rotator cuff tendinopathy within their lifetime. […] Epidemiological studies strongly support a relationship between age and cuff tear prevalence, with the most common cause being age-related degeneration and, less frequently, sports injuries or trauma. […] Those most prone to failed rotator cuff syndrome are people 65 years of age or older; and those with large, sustained tears. Smokers, people with diabetes, individuals with muscle atrophy or fatty infiltration, and those who do not follow postoperative-care recommendations also are at greater risk. […] The two main causes are acute injury or chronic and cumulative degeneration of the shoulder joint. Mechanisms can be extrinsic, intrinsic or a combination of both.
  • #132 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Age is the most common factor for rotator cuff disease. It is a degenerative process that is progressive. Smoking is a known risk factor. A systematic review demonstrated increased rates and sizes of degenerative tears along with symptomatic tears seen in smokers; this has the potential to increase the number of surgeries. […] Another risk factor is family history. In a study of rotator cuff disease in those under 40 years of age, there was a significant correlation between individuals with RC disease up to third cousins.
  • #133 Rotator cuff problems Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/rotator-cuff-problems
    A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely when you have chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears. […] Rotator cuff tears may occur in two ways: A partial tear occurs when a tear does not completely sever the attachments to the bone. A complete, full thickness tear means that the tear goes all the way through the tendon. It may be as small as a pinpoint, or the tear may involve the entire tendon. With complete tears, the tendon has come off (detached) from where it was attached to the bone. It can also be retracted and be pulled away from the bone. This kind of tear does not heal on its own.
  • #134
    https://www.mountelizabeth.com.sg/conditions-diseases/rotator-cuff-tears-injury/symptoms-causes
    Rotator cuff injury occurs when there is inflammation and swelling of this network. […] There are several different types of rotator cuff injuries. They can be: […] Acute injuries are more likely to occur in younger age groups. Degenerative injuries are more likely to occur: […] The cause of the rotator cuff injury depends on the type of rotator cuff injury involved: […] Rotator cuff tears are tears in the rotator cuff tendon instead of the muscles. In younger people, these tears often happen as a result of a fall or an accident. In older people, tears are usually caused by rotator cuff impingement syndrome. […] Rotator cuff tendonitis is caused by irritation and swelling of the tendons of the rotator cuff muscles. This may be due to an injury or overuse of the shoulder. […] Rotator cuff impingement syndrome occurs when the rotator cuff tendon is trapped and repeatedly rubbed against the shoulder blade, leading to wear and tear of the tendon.
  • #135 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely when you have chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears. […] Rotator cuff tears may occur in two ways: A partial tear occurs when a tear does not completely sever the attachments to the bone. A complete, full thickness tear means that the tear goes all the way through the tendon. […] Rotator cuff tendinitis is also called impingement syndrome.
  • #136 Rotator Cuff Pain: Treatment, Symptoms, Causes, and More
    https://www.verywellhealth.com/signs-and-symptoms-of-a-rotator-cuff-tear-2549777
    Rotator cuff pain is felt at the front and side of your shoulder and upper arm. Pain in this area often indicates injured, inflamed, or worn-down tendons in the rotator cuff. […] The three main causes of rotator cuff pain include: […] Rotator cuff tendinitis is most common in young athletes and middle-aged adults. It occurs when a normal, healthy rotator cuff tendon becomes injured or inflamed. […] A rotator cuff tear occurs when the tendon is torn from the arm bone. These tears are found mainly in middle-aged and older adults. […] A tear may be caused by trauma (for example, a fall directly on the shoulder or a direct blow to the shoulder). Chronic overuse of the rotator cuff muscles can also contribute. […] Rotator cuff tendinosis is a condition in which the tendons start to weaken and thin out due to aging. This is because, as we get older, there is a decrease in blood supply to the rotator cuff tendons. […] Rotator cuff pain can be caused by playing sports that involve throwing or overhead reaching, such as baseball and swimming. Other causes include aging and weakening of the tendons and injuries to the shoulder.
  • #137 Rotator Cuff Injury: Treatments, Symptoms, and Diagnosis
    https://www.healthline.com/health/rotator-cuff-injury
    Rotator cuff strains or tears are generally caused by: […] Rotator cuff injuries can range from mild to severe. They tend to fall into one of two categories: acute or chronic. Tendinitis (acute) or tendinopathy (chronic) is typically caused by overuse of the rotator cuff muscle. This causes it to become irritated. The tendons that connect muscles to bones can overstretch (strain) or tear, partially or completely. […] Tennis players who use an overhead serve and painters who have to reach upward to do their jobs commonly experience this injury. The rotator cuff can also be strained or tear after a fall, a car accident, or another sudden injury. These injuries typically cause intense and immediate pain. […] Acute injuries usually occur from one particular incident. These can be caused by lifting objects that are too heavy, falling, or having the shoulder forced into an awkward position. Young people are more likely to experience this type of rotator cuff injury. […] Degenerative injuries are due to long-term overuse. People most at risk for these injuries include: athletes, particularly tennis players, baseball players, rowers, and wrestlers; people with jobs that require repetitive lifting, like painters and carpenters; people above 40 years of age.
  • #138 Rotator Cuff Pain: Treatment, Symptoms, Causes, and More
    https://www.verywellhealth.com/signs-and-symptoms-of-a-rotator-cuff-tear-2549777
    Rotator cuff pain is felt at the front and side of your shoulder and upper arm. Pain in this area often indicates injured, inflamed, or worn-down tendons in the rotator cuff. […] The three main causes of rotator cuff pain include: […] Rotator cuff tendinitis is most common in young athletes and middle-aged adults. It occurs when a normal, healthy rotator cuff tendon becomes injured or inflamed. […] A rotator cuff tear occurs when the tendon is torn from the arm bone. These tears are found mainly in middle-aged and older adults. […] A tear may be caused by trauma (for example, a fall directly on the shoulder or a direct blow to the shoulder). Chronic overuse of the rotator cuff muscles can also contribute. […] Rotator cuff tendinosis is a condition in which the tendons start to weaken and thin out due to aging. This is because, as we get older, there is a decrease in blood supply to the rotator cuff tendons. […] Rotator cuff pain can be caused by playing sports that involve throwing or overhead reaching, such as baseball and swimming. Other causes include aging and weakening of the tendons and injuries to the shoulder.
  • #139 Rotator Cuff Injury: Causes & Treatment | The Hand Society
    https://www.assh.org/handcare/condition/rotator-cuff-injury
    Rotator cuff injuries can result from trauma (such as falls), sports injuries, or motor vehicle accidents. However, most rotator cuff injuries result from natural tendon aging and gradual breakdown of the cuff. Tendinosis is a process where the tendon develops microscopic changes in its collagen and cells without inflammation. In some people this process can cause symptoms. In other people, it may be occurring silently. Gradually, there are enough structural changes that it is easier to tear the weakened tendon doing a routine activity. They are more common in older people for this reason. […] When the rotator cuff is injured or damaged, it can lead to inflammation of the bursa, called bursitis. Bursitis can cause pain and loss of motion.
  • #140
    https://www.healthshare.com.au/questions/47166-describe-rotator-cuff-injury/
    The rotator cuff is a group of 4 muscles that surround the shoulder (glenohumeral joint). The most commonly injured muscle is the supraspinatus. The supraspinatus often gets impinged upon (pinched) due to biomechanical dysfunction in the shoulder. […] If the process continues to occur (months) the tendon will slowly begin to degenerate, which can cause pain/discomfort, weakness – particularly with shoulder abduction and reduced range of movement; we term this tendinosis. […] If you have chronic supraspinatus tendinosis for long enough (years) eventually the tendon will begin to fray (tear), if it tears enough you will experience significant pain and reduced range of motion. […] Other causes include work related or sleeping postures, as well as repetitive activities which may be overloading certain structures and causing problems.
  • #141 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely when you have chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears. […] Rotator cuff tears may occur in two ways: A partial tear occurs when a tear does not completely sever the attachments to the bone. A complete, full thickness tear means that the tear goes all the way through the tendon. […] Rotator cuff tendinitis is also called impingement syndrome.
  • #142 Rotator cuff problems Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/rotator-cuff-problems
    A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely when you have chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears. […] Rotator cuff tears may occur in two ways: A partial tear occurs when a tear does not completely sever the attachments to the bone. A complete, full thickness tear means that the tear goes all the way through the tendon. It may be as small as a pinpoint, or the tear may involve the entire tendon. With complete tears, the tendon has come off (detached) from where it was attached to the bone. It can also be retracted and be pulled away from the bone. This kind of tear does not heal on its own.
  • #143 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely when you have chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears. […] Rotator cuff tears may occur in two ways: A partial tear occurs when a tear does not completely sever the attachments to the bone. A complete, full thickness tear means that the tear goes all the way through the tendon. […] Rotator cuff tendinitis is also called impingement syndrome.
  • #144 Rotator cuff problems Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/rotator-cuff-problems
    A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely when you have chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears. […] Rotator cuff tears may occur in two ways: A partial tear occurs when a tear does not completely sever the attachments to the bone. A complete, full thickness tear means that the tear goes all the way through the tendon. It may be as small as a pinpoint, or the tear may involve the entire tendon. With complete tears, the tendon has come off (detached) from where it was attached to the bone. It can also be retracted and be pulled away from the bone. This kind of tear does not heal on its own.
  • #145 Shoulder Impingement (Rotator Cuff Tendinitis)
    https://my.clevelandclinic.org/health/diseases/shoulder-impingement-rotator-cuff-tendinitis
    Shoulder impingement happens when bones in your shoulder rub against or pinch your rotator cuff. […] Rotator cuff tendinitis is exactly what its name sounds like tendinitis that affects your rotator cuff. Tendinitis is swelling or irritation of a tendon. […] Shoulder impingement is almost always an overuse injury. This means it happens over time when an activity or motion repeatedly puts too much stress on your shoulder joint and rotator cuff. […] Healthcare providers call the kinds of movements that cause shoulder impingement overhead rotation motions any repetitive motion that requires you to twist and turn your shoulders with your arms raised. […] Some people develop shoulder impingement without an obvious cause (idiopathically). Its also possible for trauma (like a fall, car accident or sports injury) to cause impingement suddenly. […] Anything that irritates your rotator cuff and the tissue in your shoulder joint can cause shoulder impingement.
  • #146
    https://www.hingehealth.com/resources/articles/rotator-cuff-pain/
    Impingement. This condition occurs when the rotator cuff muscles in the shoulder become squeezed, which can lead to irritation, inflammation, and pain in the muscles and tendons. It also tends to be related to repetitive overhead movements. […] Below are some common factors that might contribute to rotator cuff problems for some people. Its important to remember that while certain activities or conditions may increase the likelihood of experiencing shoulder issues, engaging in activities that involve your shoulders does not mean youll inevitably experience a rotator cuff injury. […] Muscle weaknesses and imbalances. Strengthening exercises are very important, particularly if you do activities that involve your shoulders. Not having enough strength or having muscle imbalances near your shoulder can cause your rotator cuff muscles to undergo additional stress during activities, which may contribute to pain over time.
  • #147 Rotator Cuff Injury: Causes & Treatment | The Hand Society
    https://www.assh.org/handcare/condition/rotator-cuff-injury
    Rotator cuff injuries can result from trauma (such as falls), sports injuries, or motor vehicle accidents. However, most rotator cuff injuries result from natural tendon aging and gradual breakdown of the cuff. Tendinosis is a process where the tendon develops microscopic changes in its collagen and cells without inflammation. In some people this process can cause symptoms. In other people, it may be occurring silently. Gradually, there are enough structural changes that it is easier to tear the weakened tendon doing a routine activity. They are more common in older people for this reason. […] When the rotator cuff is injured or damaged, it can lead to inflammation of the bursa, called bursitis. Bursitis can cause pain and loss of motion.
  • #148 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Interestingly, poor posture has also been shown to be a predictor of rotator cuff disease. Tears were present in 65.8% of patients with kyphotic-lordotic postures, 54.3% with flat-back postures, and 48.9% with sway-back postures; tears were present in only 2.9% of patients with ideal alignment. […] Other risk factors include trauma, hypercholesterolemia, and occupations or activities requiring significant overhead activity. […] Partial tears are at risk for further propagation. These risk factors include: tear size, symptoms, location, and age. Tear size: A small tear may remain dormant, while larger tears are more likely to undergo structural deterioration. […] The critical size for sending a small tear towards a larger or complete tear has yet to be defined. […] Tear propagation correlates with symptom development. Actively enlarging tears have a five times higher likelihood of developing symptoms than those tears that remain the same size.
  • #149 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    Overuse: Repetitive shoulder movements during sports or on the job can stress your muscles and tendons, causing a tear. […] Anyone can experience a rotator cuff tear. These factors may increase your risk: […] Biological family history of shoulder problems or rotator cuff injuries. […] Degenerative tears are more common among people who do the same repetitive shoulder movements, such as: […] Carpenters. […] A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm. […] An accident, such as a fall, can cause a broken collarbone or dislocated shoulder that tears your rotator cuff.
  • #150 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    Occupation. Jobs that involve repetitive shoulder motions also can put people at risk for rotator cuff tears. […] Age. People over age 40 are more prone to developing rotator cuff tears. […] Heavy lifting. Lifting heavy items regularly can lead to tears. […] Muscle weakness. Weakened shoulder muscles due to reduced activity or lack of exercise can increase the risk of rotator cuff tears. […] It’s important to note that untreated rotator cuff tears can lead to further complications, including chronic pain, limited arm functionality and range of motion, and potential damage to the shoulder joint. Seeking a proper diagnosis and treatment is vital to preventing these complications. […] A tear also can increase over time so a partial rotator cuff tear may progress to a total tear.
  • #151 Rotator Cuff Tear: Causes, Symptoms, Treatments | HSS
    https://www.hss.edu/condition-list_rotator-cuff-tear-injury.asp
    A rotator cuff tear is a tear in any one of the tendons of the rotator cuff. […] A minor, partial tear can occur over time from overuse, or prolonged wear and tear (degeneration). Partial tears can progress to full-thickness rotator cuff tears over time. Complete ruptures can also be caused by a trauma such as dislocating your shoulder or by performing a sudden and heavy lift. […] When trauma is the immediate cause of a tear, it is often the case that existing tendon degeneration or a prior, less severe rotator cuff injury has played a contributing role.
  • #152 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    Occupation. Jobs that involve repetitive shoulder motions also can put people at risk for rotator cuff tears. […] Age. People over age 40 are more prone to developing rotator cuff tears. […] Heavy lifting. Lifting heavy items regularly can lead to tears. […] Muscle weakness. Weakened shoulder muscles due to reduced activity or lack of exercise can increase the risk of rotator cuff tears. […] It’s important to note that untreated rotator cuff tears can lead to further complications, including chronic pain, limited arm functionality and range of motion, and potential damage to the shoulder joint. Seeking a proper diagnosis and treatment is vital to preventing these complications. […] A tear also can increase over time so a partial rotator cuff tear may progress to a total tear.
  • #153 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Interestingly, poor posture has also been shown to be a predictor of rotator cuff disease. Tears were present in 65.8% of patients with kyphotic-lordotic postures, 54.3% with flat-back postures, and 48.9% with sway-back postures; tears were present in only 2.9% of patients with ideal alignment. […] Other risk factors include trauma, hypercholesterolemia, and occupations or activities requiring significant overhead activity. […] Partial tears are at risk for further propagation. These risk factors include: tear size, symptoms, location, and age. Tear size: A small tear may remain dormant, while larger tears are more likely to undergo structural deterioration. […] The critical size for sending a small tear towards a larger or complete tear has yet to be defined. […] Tear propagation correlates with symptom development. Actively enlarging tears have a five times higher likelihood of developing symptoms than those tears that remain the same size.
  • #154 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    Interestingly, poor posture has also been shown to be a predictor of rotator cuff disease. Tears were present in 65.8% of patients with kyphotic-lordotic postures, 54.3% with flat-back postures, and 48.9% with sway-back postures; tears were present in only 2.9% of patients with ideal alignment. […] Other risk factors include trauma, hypercholesterolemia, and occupations or activities requiring significant overhead activity. […] Partial tears are at risk for further propagation. These risk factors include: tear size, symptoms, location, and age. Tear size: A small tear may remain dormant, while larger tears are more likely to undergo structural deterioration. […] The critical size for sending a small tear towards a larger or complete tear has yet to be defined. […] Tear propagation correlates with symptom development. Actively enlarging tears have a five times higher likelihood of developing symptoms than those tears that remain the same size.
  • #155 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    The location of the tear also influences progression. Anterior tears are more likely to progress to cuff degeneration. […] Finally, age is a risk factor. Patients over age 60 are more likely to develop tears that progress. Younger patients with full-thickness tears appear more capable of adapting to stress and tear propagation than those 60 years of age and older.
  • #156 Rotator Cuff Injury – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK547664/
    The location of the tear also influences progression. Anterior tears are more likely to progress to cuff degeneration. […] Finally, age is a risk factor. Patients over age 60 are more likely to develop tears that progress. Younger patients with full-thickness tears appear more capable of adapting to stress and tear propagation than those 60 years of age and older.
  • #157 Rotator Cuff Tear Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/rotator-cuff-tears
    Occupation. Jobs that involve repetitive shoulder motions also can put people at risk for rotator cuff tears. […] Age. People over age 40 are more prone to developing rotator cuff tears. […] Heavy lifting. Lifting heavy items regularly can lead to tears. […] Muscle weakness. Weakened shoulder muscles due to reduced activity or lack of exercise can increase the risk of rotator cuff tears. […] It’s important to note that untreated rotator cuff tears can lead to further complications, including chronic pain, limited arm functionality and range of motion, and potential damage to the shoulder joint. Seeking a proper diagnosis and treatment is vital to preventing these complications. […] A tear also can increase over time so a partial rotator cuff tear may progress to a total tear.
  • #158 Rotator Cuff Tear: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear
    Overuse: Repetitive shoulder movements during sports or on the job can stress your muscles and tendons, causing a tear. […] Anyone can experience a rotator cuff tear. These factors may increase your risk: […] Biological family history of shoulder problems or rotator cuff injuries. […] Degenerative tears are more common among people who do the same repetitive shoulder movements, such as: […] Carpenters. […] A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm. […] An accident, such as a fall, can cause a broken collarbone or dislocated shoulder that tears your rotator cuff.
  • #159 Rotator Cuff Tear and Injury: Exercises, Treatment, Causes, Symptoms, Healing Times
    https://www.medicinenet.com/rotator_cuff/article.htm
    The rotator cuff can be injured because of degeneration with aging or inflammation due to tendinitis, bursitis, or arthritis of the shoulder. […] Rotator cuff injury is particularly common in people who perform repetitive overhead motions that can stress the rotator cuff. These motions are frequently associated with muscle fatigue. […] Rotator cuff disease is damage to the rotator cuff from any cause. […] It can be from an acute injury or from repetitive strains. […] Risk factors for rotator cuff disease include any activity that involves sudden strain movements of the shoulder against resistance. […] Rotator cuff disease can be prevented by avoiding injury to the tendons of the shoulder. […] Rotator cuff injuries can also be prevented by strengthening the rotator cuff muscles with exercises designed for this purpose. […] Without treatment, the shoulder can permanently lose full function from rotator cuff injury. […] Severe rotator cuff injuries can cause complete dysfunction of the shoulder joint. […] Some patients never recover the full function of the shoulder joint.
  • #160 Understanding Shoulder Rotator Cuff Injuries and Treatment | OrthoVirginiaSearch
    https://www.orthovirginia.com/blog/understanding-shoulder-rotator-cuff-injuries-and-t/
    Rotator cuff problems come in all shapes and sizes. Most of these issues can be divided into tendonitis, partial tears, or full tears of the rotator cuff. […] Up to 60% of patients who are over 60 years old have full thickness rotator cuff tears. […] The reason you can have both a partial and full thickness tear is because the rotator cuff is made up of multiple layers of tissue just like how toilet paper is made of two plies. The rotator cuff has its own layers of tissue. There are five layers in the rotator cuff, and you can have injuries or tears involving one or multiple tissue layers. […] The tear can grow with time, and the muscles can undergo fatty changes, which means the tendon has torn off the bone, and the muscle has nothing to pull against. Over time, the muscle wears out and turns into fat.
  • #161 Understanding Shoulder Rotator Cuff Injuries and Treatment | OrthoVirginiaSearch
    https://www.orthovirginia.com/blog/understanding-shoulder-rotator-cuff-injuries-and-t/
    Once the muscles undergo fatty changes, it’s not typically a good idea to repair the rotator cuff because they don’t heal very well. So, waiting for a period of time can make the tear worse both from a size standpoint, meaning the tear can get bigger, and from a tissue quality standpoint which means the tendon can get thinner, and the muscles can undergo fatty changes. […] Most tears are not huge tears involving all of those muscles and tendons. They tend to be tears that are one to three centimeters in diameter or width. Those are small to medium tears.
  • #162 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000438.htm
    The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keep it stable. […] A rotator cuff tear occurs when one of the tendons is torn from the bone from overuse or injury. […] Causes of this condition include: Keeping the arm in the same position for long periods, such as doing computer work or hairstyling, Sleeping on the same arm each night, Playing sports requiring the arm to be moved overhead repeatedly such as in tennis, baseball (particularly pitching), swimming, and lifting weights overhead, Working with the arm overhead for many hours or days, such as in painting and carpentry, Poor posture over many years, Aging, Rotator cuff tears. […] A sudden acute tear may happen when you fall on your arm while it is stretched out. Or, it can occur after a sudden, jerking motion when you try to lift something heavy.
  • #163 Rotator Cuff Injuries/Tears: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/orthopedics/columbia-orthopedics/rotator-cuff-injuries-tears
    The rotator cuff is a group of muscles and tendons surrounding the shoulder joint that provide strength for shoulder motion. A rotator cuff tear occurs when one of these tendons detaches from the bone, usually from overuse or traumatic injury. […] Most rotator cuff injuries are wear-and-tear overuse conditions, caused by repeated arm movements over time. The tissues in the rotator cuff can break down, leading to conditions such as tendinitis and bursitis. Rotator cuff tears can occur gradually from repetitive motion or suddenly from overloading, such as from a bike fall or crash. […] Rotator cuff injuries may be the result of a substantial injury to the shoulder. For example, a fall or other accident that leads to a broken collarbone or dislocated shoulder can also cause a sudden tear in the rotator cuff.
  • #164 Rotator Cuff Tear – Florida Surgery Consultants
    https://floridasurgeryconsultants.com/conditions/rotator-cuff-tear/
    The rotator cuff is a set of four muscles supraspinatus, infraspinatus, subscapularis, and teres minor that come from the scapula (shoulder blade) and their tendons that keep your humerus (upper arm bone) attached to the shoulder socket. It is responsible for keeping the entire arm stable and mobile. Rotator cuffs get a lot of everyday use. The likelihood of rotator cuff tears will depend on a combination of factors like your age, occupation, daily activities, sports activities, or a traumatic injury. […] A rotator cuff tear develops more over time than through a sudden injury. Usually, it occurs in people who perform constant overhead motions or activities in their jobs such as carpenters, painters, basketball players, etc. The normal wear and tear or repetitive arm motions develop. The risk of developing these diseases increases with age.
  • #165
    https://www.healthshare.com.au/questions/47166-describe-rotator-cuff-injury/
    The rotator cuff is a group of 4 muscles that surround the shoulder (glenohumeral joint). The most commonly injured muscle is the supraspinatus. The supraspinatus often gets impinged upon (pinched) due to biomechanical dysfunction in the shoulder. […] If the process continues to occur (months) the tendon will slowly begin to degenerate, which can cause pain/discomfort, weakness – particularly with shoulder abduction and reduced range of movement; we term this tendinosis. […] If you have chronic supraspinatus tendinosis for long enough (years) eventually the tendon will begin to fray (tear), if it tears enough you will experience significant pain and reduced range of motion. […] Other causes include work related or sleeping postures, as well as repetitive activities which may be overloading certain structures and causing problems.
  • #166 Rotator Cuff Tear Pain – Your Shoulder
    https://your-shoulder.com/rotator-cuff-tear-pain/
    When a tear occurs in the cuff, it can involve one, or potentially all, of the rotator cuff tendons. […] What causes a rotator cuff tear? For some people, it’s very obvious that a single event caused them a big pain in the shoulder – for instance if they picked up a very heavy object, or a fall caused them to severely jar the shoulder. When the rotator cuff is injured in this manner, we call it a traumatic tear. […] It may be that your pain has gradually accrued over time after working in the garden or doing lots of sport. This slower brewing tear is known as a degenerative or chronic tear.
  • #167 Understanding Shoulder Rotator Cuff Injuries and Treatment | OrthoVirginiaSearch
    https://www.orthovirginia.com/blog/understanding-shoulder-rotator-cuff-injuries-and-t/
    Once the muscles undergo fatty changes, it’s not typically a good idea to repair the rotator cuff because they don’t heal very well. So, waiting for a period of time can make the tear worse both from a size standpoint, meaning the tear can get bigger, and from a tissue quality standpoint which means the tendon can get thinner, and the muscles can undergo fatty changes. […] Most tears are not huge tears involving all of those muscles and tendons. They tend to be tears that are one to three centimeters in diameter or width. Those are small to medium tears.
  • #168 Rotator cuff problems Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/rotator-cuff-problems
    A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely when you have chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears. […] Rotator cuff tears may occur in two ways: A partial tear occurs when a tear does not completely sever the attachments to the bone. A complete, full thickness tear means that the tear goes all the way through the tendon. It may be as small as a pinpoint, or the tear may involve the entire tendon. With complete tears, the tendon has come off (detached) from where it was attached to the bone. It can also be retracted and be pulled away from the bone. This kind of tear does not heal on its own.
  • #169 Understanding Shoulder Rotator Cuff Injuries and Treatment | OrthoVirginiaSearch
    https://www.orthovirginia.com/blog/understanding-shoulder-rotator-cuff-injuries-and-t/
    Once the muscles undergo fatty changes, it’s not typically a good idea to repair the rotator cuff because they don’t heal very well. So, waiting for a period of time can make the tear worse both from a size standpoint, meaning the tear can get bigger, and from a tissue quality standpoint which means the tendon can get thinner, and the muscles can undergo fatty changes. […] Most tears are not huge tears involving all of those muscles and tendons. They tend to be tears that are one to three centimeters in diameter or width. Those are small to medium tears.
  • #170 What is the rotator cuff of the shoulder? — Lake Washington Physical Therapy
    https://www.lakewashingtonpt.com/what-causes-a-rotator-cuff-injury
    What causes a rotator Cuff injury? […] Rotator cuff muscles and tendons can be injured over time, or with a sudden injury such as a fall. In an overuse injury, the soft tissues may start to fray, often caused by repeated activities. Rotator cuff tendinopathy is a long-term overuse tendon injury with damage to the tendon occurring at a microscopic level. […] Rotator cuff tears typically occur at the junction where the tendon attaches to the bone and are can be caused by both extrinsic (outside) and intrinsic (inside) factors.
  • #171 Rotator cuff problems Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/rotator-cuff-problems
    A chronic tear of the rotator cuff tendon occurs slowly over time. It is more likely when you have chronic tendinitis or impingement syndrome. At some point, the tendon wears down and tears. […] Rotator cuff tears may occur in two ways: A partial tear occurs when a tear does not completely sever the attachments to the bone. A complete, full thickness tear means that the tear goes all the way through the tendon. It may be as small as a pinpoint, or the tear may involve the entire tendon. With complete tears, the tendon has come off (detached) from where it was attached to the bone. It can also be retracted and be pulled away from the bone. This kind of tear does not heal on its own.