Rotator cuff specificity of 80% to 90%. A common cause of shoulder pain in rotator cuff impingement syndrome is Tendinosis, which is an age related and most often self limited condition. The rotator interval is a triangular space in the shoulder that is functionally reinforced externally by the coracohumeral ligament and internally by the superior glenohumeral ligament, and traversed by the intra-articular biceps tendon. On imaging, it is defined by the coracoid process at its base, the supraspinatus tendon superiorly and the subscapularis tendon inferiorly. Changes of adhesive capsulitis can be seen at this interval as edema and fibrosis. Pathology at the
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