Rotator cuff tear may have significance include os acromiale and acromial spurs. Environmental factors implicated include increasing age, shoulder overuse, smoking, and any medical condition that affects circulation or impairs the inflammatory and healing response, such as diabetes mellitus. Intrinsic factors refer to injury mechanisms that occur within the rotator cuff itself. 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. As a result of repetitive microtrauma in the setting of a degenerative rotator cuff tendon, inflammatory mediators alter the local environment, and
Collateral ligaments of metacarpophalangeal joints while the proper ligaments are shortened. As a result, the joint is stable during full flexion while the relaxed collateral ligaments allows lateral and rotation movements during extension. The tendons of interosseous and lumbricales add to the lateral stability of the joint. Collateral ligaments of metacarpophalangeal joints In human anatomy, the radial (RCL) and ulnar (UCL) collateral ligaments of the metacarpophalangeal joints (MCP) of the hand are the primary stabilisers of the MCP joints. They have two parts: the cord-like collateral ligaments proper located more dorsally and the accessory collateral ligaments located more volarly. They enable us to spread our