Tendon Ruptures Around The Shoulder - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes conditions and rupture of the tendons of the shoulder area.
1- The Supraspinatus Tendon: is the most common of the rotator cuff tendons to be ruptured.
Tears of the rotator cuff tendons are common shoulder injuries in overhead throwing sports.
How do you examine for rotator cuff tears:
- Jobe Test: the patient should be either standing or sitting upright, the arm should be anteriorly flexed at the level of the shoulder, fully pronate the arm into the: “ empty can position”, the patient should resist the downward force being applied by the examiner.
Pain or weakness indicates a supraspinatus tendon lesion.
2- Infraspinatus Tendon Rupture: this muscle attaches to the back of the greater tubercle of the humerus at the upper arm and can easily strain or tear.
Weakness of abduction and external rotation of the shoulder is a sign of an infraspinatus tear.
3- Teres Minor tendon rupture.
4- Subscapularis Tendon Rupture: with complete rupture of the subscapularis tendon, the transverse humeral ligament will become torn, causing medial dislocation of the biceps tendon from its groove.
Lift-off Test: is oftes used to diagnose the subscapularis tendon tear, the patient places the hand behind their back at the lumbar level and is able to lift the hand away from the back with an intact subscapularis tendon, if the patient is unable to lift the hand away from the lower back, then a tear of the subscapularis tendon is suspected.
5- Biceps Tendon Rupture: rupture of the proximal biceps tendon is most often found in association with a rotator cuff tear, rupture involving the long head of the biceps tendon usually results I a “popeye” muscle bulge.
6- Pectoralis major Tendon Rupture: the patient will experience pain while extending the arm, Ecchymosis is present down the arm, the pain is worsened with resisted adduction and extension, and there will also be loss of normal contour of the axillary fold.


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