ROTATOR CUFF TEAR ARTHROPATHY

Rotator Cuff Tear Arthropathy

Rotator Cuff Tear Arthropathy refers to a condition where the rotator cuff (rotator cuff tendons) tears, leading to degenerative changes in the shoulder joint. This condition is characterized primarily by a loss of shoulder joint function, pain, and restricted range of motion due to the damage to the rotator cuff.

Main Characteristics

[Causes]
・Chronic Strain: It is common for the rotator cuff to gradually become damaged due to repetitive movements or overuse.
・Trauma: Accidents or sports injuries can cause a sudden tear in the rotator cuff.
・Aging: The quality of the rotator cuff deteriorates with age, increasing the risk of tears.

[Symptoms]
・Pain: Pain is felt on the outside or front of the shoulder, especially when raising the arm.
・Restricted Range of Motion: The range of motion in the shoulder is limited, particularly accompanied by pain when moving the arm.
・Weakness: You may feel a lack of strength when lifting your arm or carrying objects.
・Deformation: Prolonged rotator cuff tears can lead to deformity of the shoulder joint, resulting in an unnatural shoulder shape.

[Diagnosis]
・Medical Interview: Gathering information about symptoms and medical history.
・Physical Examination: Evaluating the range of motion in the shoulder and the degree of pain.
・Imaging Tests: Using X-rays and MRI to check the condition of the rotator cuff and any deformities in the shoulder joint. MRI can also identify the extent of the rotator cuff tear and related soft tissue damage.

[Treatment]
(Conservative Treatment)
・Rest: It's important to avoid activities that cause pain and rest the shoulder.
・Physical Therapy: Rehabilitation is conducted to restore the range of motion and muscle strength in the shoulder.
・Medication: Non-steroidal anti-inflammatory drugs (NSAIDs) and pain relievers may be prescribed.
(Surgery)
If conservative treatment is ineffective or if there is severe deformity, surgery (rotator cuff repair or shoulder joint replacement) may be considered.

[Prevention]
・Proper Exercise: It is important to strengthen the shoulder muscles and increase flexibility through appropriate exercises.
・Caution in Sports: It is essential to be mindful of using the correct form in sports and daily activities to avoid putting a strain on the shoulders.

[Summary]
Rotator Cuff Tear Arthropathy is a condition where the rotator cuff tears, leading to deformity in the shoulder joint. Appropriate diagnosis and treatment are necessary. Early intervention and rehabilitation are crucial to restoring shoulder function and aiming for a return to daily activities.

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