Rotator Cuff Related Shoulder Pain

Question 1

Included pathologies

Answer 1

> Sub-acromial pain syndrome (impingement)
Rotator Cuff Tendinopathy
Rotator Cuff Tears

Question 2

Possible contributing factors

Answer 2

> Tendon compression via intrinsic/extrinsic factors (possible compression of greater tuberosity on superior glenoid)
> Tendon Under/Overuse
> Genetics
> Nutrition 
> Continual Overhead work
> Diabetes
> Age - over 50

Question 3

Clinical Presentation

Answer 3

> Pain + Impairment of shoulder movement (typically in elevation via flex/abd and lateral rotation)
Altered scapula movement (lower traps with delayed activity)
+ increased superior glide of humeral head in glenoid
Painful arc (usually around 90 degrees to 120 degrees)

> Usually due to excessive or mal-adaptive load

Question 4

Management

Answer 4

Similar outcomes over long term so depends on patient
> Surgery 
> Physiotherapy
- Strengthening 
- modify load 
- educate