Rotator cuff specificity of 80% to 90%. A common cause of shoulder pain in rotator cuff impingement syndrome is Tendinosis, which is an age related and most often self limited condition. The rotator interval is a triangular space in the shoulder that is functionally reinforced externally by the coracohumeral ligament and internally by the superior glenohumeral ligament, and traversed by the intra-articular biceps tendon. On imaging, it is defined by the coracoid process at its base, the supraspinatus tendon superiorly and the subscapularis tendon inferiorly. Changes of adhesive capsulitis can be seen at this interval as edema and fibrosis. Pathology at the
Glenohumeral ligaments capsule is strengthened in front by two bands derived from the tendons of the Pectoralis major and Teres major respectively. During abduction of the arm the middle and inferior ligaments become taut while the superior ligament relaxes. The radius of curvature of the head of the humerus is greater superiorly than inferiorly, which further stretches these ligaments so that they keep the articular surfaces of the joint in their close-packed position. During abduction the greater tubercle of the humerus comes in contact with the upper margin of the glenoid cavity, which limits maximum abduction. By rotating the humerus laterally, this