Swimming (sport) less stress on joints. Due to continuous rotation and usage, the shoulder (rotator cuff) is the joint most susceptible to injury in swimmers. As opposed to a single incident, injury to the rotator cuff in swimmers is a result of repeated trauma and overuse. The joint is most prone to injury when the arm is repetitively used in a position above the horizontal. This position occurs in each of the four swimming strokes in every cycle of the arms. Of the four muscles and tendons of the rotator cuff, the injury, or tear, is most likely to occur in the
Rotator cuff tear the rotator cuff muscles become irritated and inflamed while passing through the subacromial space beneath the acromion. This relatively small space becomes even smaller when the arm is raised in a forward or upward position. Repetitive impingement can inflame the tendons and bursa, resulting in the syndrome. Well-documented anatomical factors include the morphologic characteristics of the acromion. Hooked, curved, and laterally sloping acromia are strongly associated with cuff tears and may cause tractional damage to the tendon. Conversely, flat acromia may have an insignificant involvement in cuff disease and consequently may be best treated conservatively. The development of these different