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 single physical examination test distinguishes reliably between bursitis, partial-thickness, and full-thickness tears. On the contrary, a combination of tests seems to provide the most accurate diagnosis. For impingement, these tests include the Hawkins-Kennedy impingement sign in which the examiner medially rotates the patient's flexed arm, forcing the supraspinatus tendon against the coracoacromial ligament and so producing pain if the test is positive a positive painful arc sign, and weakness in external rotation with the arm at the side. For the diagnosis of full-thickness rotator cuff tear, the best combination appears to include once more the painful arc and weakness in