Supraspinatus tendonitis is inflammation of the supraspinatus/rotator cuff tendon and/or the contiguous peritendinous soft tissues, according to Medscape. It is usually identified with shoulder impingement syndrome and is a recognized phase in the second stage of the disease. There are both extrinsic and intrinsic factors that can lead up to this condition. Primary and secondary impingement are what make up the extrinsic factors. Primary impingement is the outcome from increased subacromial loading, trauma, or overhead activities. Secondary impingement is the outcome from rotator cuff overload and muscle imbalance. The condition can also be caused by the diminishing in the supraspinatus outlet space because of the unstable glenohumeral joint. …show more content…
They connect as four joints: the scapulothoracic joint (ST joint), the glenohumeral joint (GH joint), the sternoclavicular joint (SC joint), and the acromioclavicular joint (AC joint), according to Morphopedics. The supraspinatus tendon has the subacromial bursa lying between it and the acromion. According to Morphopedics, the supraspinatus outlet is a space formed by the acromion, acromioclavicular joint, and coracoacromial arch. This is where the supraspinatus tendon goes through so all irregularities with it can create impingement in the
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
The elbow is a hinge joint, moving in only one dimension (flex or extend), making it relatively simple from an architectural and functional standpoint. The humerus bone in the upper arm connects to the two bones of the forearm by means of various connective tissues. For a pitcher, one of the most important of these connections is the unlar collaterial ligament (UCL). The UCL offers much of the stability that is necessary for the elbow to withstand the extreme stresses created by throwing a baseball at high velocity. Its function is to stabilize against lateral forces and to keep the arm connected across the joint space.
Tendinopathy is a generic description that encompasses many pathologies of clinical conditions arising from chronic overuse in and around the tendon such as ruptures/tendinitis, tendinosis and paratendinitis, which can only be classified post histopathological examination (Maffulli, Sharma, & Luscombe, 2004; Khan, Cook, Bonar, Harcourt, & Astrom, 1999). There has been a shift to replace the pathological term ‘tendinitis’ with ‘tendinosis’ as increasing research fails to detect the presence of prostaglandin mediated inflammatory cell infiltration within the pathological tendon (Khan, Cook, & Kannus, 2002; Khan et al. 1999). Achilles tendinosis pathology is now attributed to a failure of the cell matrix to adapt to repetitive trauma. With fiber disorientation, ...
Flexion is the bending of a joint so that the angle between the two bones decreases. The primary muscles that flex the knee are a group collectively known as “hamstrings.” The hamstrings consist of the biceps femoris, semitendinosus, semimembranosus. The muscles that assist in flexion are the sartorius, gracilis,...
The ability to flex the finger consists of a serial of flexor muscles in the forearm and their tendons are inserted to the bones of finger. The injury of flexor tendon might cause the loss of bending of the fingers or thumb. The flexor digitorum profundus tendon (FDP) attaching to the distal phalanx and the flexor digitorum superficialis tendon banding to middle phalanx well demonstrated the specific type of tendon-to-bone insertion site characterized by the four-zone enthesis.[1] The retinacula (sheath) structures serve as strong fibrous bands wrap around the flexor tendons in order to keep the flexor tendons in place while flexion.
However, these types of repair have a large amount of issues concerning pain in the back of the knee cap. Other problems such as pain with kneeling, stiffness may take place. The hamstring tendon autograft consist of the tendon on the inside of the knee. An additional tendon that may be used is called the gracilis. This creates a double or four strand tendon graft. The problems following this surgery are few including less stiffness, smaller slits and faster improvement?
One major injury suffered in the shoulder is to the rotator cuff. The rotator cuff is a group of muscles and its surrounding tendon in the shoulder. These muscles and tendons (rotator cuff) serve to stabilize the shoulder. Many athletes are at risk of injuring the rotator cuff through repetitive impact and sudden movements.
A rotator cuff is simply a group of four tendons and muscles that are located right on the shoulder and on top of the humerus bone. (Source 1) The rotator cuff is what controls the shoulder and allows it to move and be mobile. The four main muscles that consist of the tendons are the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. (Source 2). Too much wear and tear on these muscles (such as too many thrown fastballs) is precisely what causes the rotator cuff to begin to tear, as well as swelling in the tendons.
The suspensory ligament is found down the back of the cannon bone that starts just below the knee or hock and splits into two parts that pass around the back of the ankle and end on the front of the long pastern bone. Acute front suspensory ligament injuries are most commonly found in eventers and jumpers due to the speed and the increasing load on the forelimbs from jumping and the chance of misstep.
The surfaces of the joint are organised to allow only back and forth motion such as bending and straightening. This type of joint can be found between your upper arm and your lower arm, in the elbow. This type of joint is incredibly important as it allows an up and down movement, without this type of joint, we wouldn’t be able to move our arm up and down. Muscles are attached to this type of joint by tendons to allow it to contract and relax and be able to move the bone within this joint. Ligaments attach the bones in a hinge joint together, for example, the humerus and the tibia are joined by ligaments but they also have antagonist muscle pairs attached to them by tendons which allow the bone to move by contraction and relaxation of the muscles.
“The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease” by Thomas A. Edison. Chiropractors use hands-on spinal manipulation and other alternative treatments on the spine which will enable the body to heal itself without surgery or medication. Chiropractic care began in 1895 when its founder, Daniel David Palmer, claimed any and all diseases could be healed by nothing more than just his hands. Dr. Palmer examined a janitor who was deaf for 17 years after the janitor felt his back was out of place, so Dr. Palmer gave an adjustment to what was felt to be a misplaced vertebra in the upper back. The janitor then observed that his hearing improved thanks to Dr. Palmer. Chiropractors use manipulation to restore mobility to joints restricted by tissue injury caused by sitting without proper back support. Chiropractic is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons. About 22 million Americans visit chiropractors annually
Shoulder impingement is a common injury among athletes or those who have physically demanding jobs. The shoulder impingement occurs as a result of the rotator cuff tendons becoming compressed against the bone. As time progresses, the compression area will become inflamed and swollen. The irritation will create a sensation of pain and limit movement in the shoulder. An expert
The knee joint is extended when in the standing position, to stabilize this joint the biceps femoris, semi-mebranosus, semi-tendonosus (hamstrings) and the rectus femoris, vastus lateralis, vastus intermedius and vastus medialis (quadriceps) co-contract isometrically.
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn