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 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