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
Rotator cuff tear in frequency with age and the most common cause is age-related degeneration and, less frequently, sports injuries or trauma. Some risk factors of experiencing a rotator cuff tear cannot be changed: age, body mass index, and height. Recurrent lifting and overhead motions are at risk for rotator cuff tears. People who have jobs that involve overhead work, such as carpenters, painters, custodians and servers are at risk of also experiencing a rotator cuff tear. People who play sports that involve overhead motions, such as swimming, volleyball, baseball, tennis, and American football quarterbacks, are at a greater risk of experiencing a