Rotator cuff muscles and their rehabilitation

Rotator cuff muscles their anatomy and rehab of rotator cuff muscles tear

1. ROTATOR CUFF

2. CONTENT
01
02
03
04
INTRODUCTION
MUSCLES
EXAMINATION
PRESENTATION

3. provide stabilisation to GH joint by
compressing humeral head against glenoid
during arm movements, rotator cuff
muscles contract and prevent sliding of
humeral head , allowing FROM and
stability
provides mobility to shoulder joint by
facilitating Abduction, ER , IR
GH joint is a ball and
socket joint - Humerus
head inserts into
glenoid cavity
INTRODUCTION
comprises 4 muscles
1) Supraspinatus
2) Infraspinatus
3) Teres minor
4) Subscapularis

5. MUSCLE ORIGIN INSERTION ACTION LOCATION
VASCULAR
SUPPLY
NERVE
SUPPLY
SUPRASPINATAUS
SUPRASPINOUS
FOSSA OF
SCAPULA
GREATER
TUBEROSITY OF
HUMERUS
(SUPERIOR
FACET/PART)
ABDUCTION
(0-15*)
(FURTHER ABD
BY DELTIOD
>15)
POSTERIOR
SUPRASCAPULAR
ARTERY
SUPRASCAPULAR
NERVE (C5,C6)
INFRASPINATUS
INFRASPINOUS
FOSSA
GREATER
TUBEROSITY
(MIDDLE PART)
(BELOW
SUPRASPINATUS)
EXTERNAL
ROTATION
POSTERIOR
SUPRASCAPULAR
ARTERY
SUPRASCAPULAR
NERVE (C5,C6)
TERES MINOR
LATERAL BORDER
OF SCAPULA
GREATER
TUBEROSITY
(INFERIOR PART)
(BELOW
INFRASPINATUS)
EXTERNAL
ROTATION
POSTERIOR
POSTERIOR
CICRUMFLEX
HUMERAL
ARTERY
AXILLARY NERVE
(C5,C6)(THIS
NERVE ALSO
SUPPLY
DELTOID)
SUBSCAPULARIS
SUBSCAPULAR
FOSSA
LESSER TUBERCLE
INTERNAL
ROTATION
ANTERIOR
SUBSCAPULAR
ARTERY
SUBSCAPULAR
NERVE
(C5,C6,C7)

6. EXAMINATION

7. SUPRASPINATUS
EMPTY CAN /
JOBES TEST

8. INFRASPINATUS
EXTERNAL ROTATION
AGAINST RESISTANCE

9. HORNBLOWER’S /
PATTE’S TEST
TERES MINOR
External rotation
against
resistance in
scapular plane

10. LIFT OFF TEST
SUBSCAPULARIS
BEAR HUG TEST

11. PRESENTATION

12. ROM - normal
Drop arm test +
Hawkins test +
External rotation
limited
Pain
localised (lateral
aspect, lateral deltoids)
Increase with overhead
activities
at night >
Painful arc during
flexion and
abduction (60-120*)
In young adults- due to
over exertion, heavy
weight lifting
In old - due to repetitive
overhead activities

13. Treatment

14. PENDULAR EXERCISE

15. INTERNAL AND EXTERNAL
ROTATION WITH THERABAND

16. BICEP CURLS WITH
WEIGHT

17. SCAPULAR RETRACTION
AND PROTRACTION

18. INTERNAL AND EXTERNAL
ROTATION IN SUPINE IN
SCAPULAR PLANE

19. INTERNAL AND EXTERNAL
ROTATION IN SIDE LYING
WITH WEIGHT

20. PRONE SHOULDER
EXTENSION

21. CROSS BODY STRETCH
FOR POSTERIOR CAPSULE

22. ANTERIOR CAPSULE /
PECTORALIS MINOR STRETCH
USING A DOOR FRAME