Rotator cuff tear Because individuals are highly dependent on the shoulder for many activities, overuse of the muscles can lead to tears, the vast majority again occurring in the supraspinatus tendon. The role of the supraspinatus is to resist downward motion. The supraspinatus resists downward motion while the shoulder is relaxed as well as when carrying weight. Such a tear usually occurs at its point of insertion onto the humeral head at the greater tubercle. Even though the supraspinatus is the most commonly injured muscle of the four muscles in the rotator cuff, the other three muscles that comprise the rotator cuff, the
Rotator cuff tear Of those whose tears enlarge, 20% have no symptoms while 80% eventually develop symptoms. There is no irrefutable evidence that rotator cuff surgery benefits patients more than non-surgical management and a percentage of patients never regain full range of motion after surgery. Epidemiological studies strongly support a relationship between age and cuff tear prevalence. In a recent study the frequency of such tears increased from 13% in the youngest group (aged 50–59 y) to 20% (aged 60–69 y), 31% (aged 70–79 y), and 51% in the oldest group (aged 80–89 y). This high rate of tear prevalence in asymptomatic individuals