ROTATORY RUBBER RISH

Rotary muscle tendon disease is one of the most common causes of shoulder pain in older adults, including middle age.With the recent increase in the elderly population, the frequency of occurrence has increased, and the diagnosis rate has increased due to the development of imaging technologies such as ultrasound and MRI.

 

1. Parts and causes of the outbreak

 

There are four muscles that pass between the bones forming the shoulder joint, which is called rotator muscles because their main function is to rotate the arms inward or outward. It sticks to the proximal part of the upper arm bone by gising from the scapula of the torso, but when attached, it changes to a tendon and is firmly fixed. It is formed from four muscles: the hypertrophy, the hypertrophy, the lower scapula and the lower scapula, and the ability to move as if it were a single organ to position the upper arms head well in the center of the scapula.

 

The disease that causes degenerative changes such as aging in the tendons of the rotator muscles to rupture is called rotator cuff disease, and the disease proceeds from partial rupture to full rupture, and from sofa rupture to large rupture.

It is difficult to determine the cause of this rotator cuff disease as one, and the internal causes and external causes are described as degenerative changes in the rotator tendon and decreased blood circulation, and the external causes are recognized as bone and tendon collisions.However, it is widely accepted that it is caused by a combination of various causes.

 

2. Symptoms

 

The main symptom of rotator cuff rupture is pain. The position of pain is typically from the front/side to the bottom of the shoulder joint. When you lift your arms or lift heavy objects, the pain gets worse and worse in your lying down position, especially at night. If joint motion is reduced due to pain and rupture becomes worse, muscle weakness also occurs.

Often rotator cuff diseases are not proportional to the progression and symptoms of the disease. Severe pain can also be seen in mucous cyst or minor partial rupture, while in many cases, the symptoms of self-awareness are mild in the case of full rupture. Therefore, you should not judge the severity of the disease by the symptoms alone.

 

3. Diagnostics

 

Diagnoses first based on the patients symptoms and examination, and tests images such as X-ray, ultrasound, and MRI are conducted at the same time. As the rupture progresses, the rupture is felt or touched in the examinations findings, and muscle atrophy is observed. There are various tests to measure the muscle strength of a ruptured muscle, and each tendon rupture is tested.

 

 

Currently, the widely used imaging tests are ultrasound and MRI. In addition to the presence of a rotator cuff rupture, the size, degree, and degree of degradation of the end can be known, which helps you choose and plan the surgical method.

 

4. Treatment

 

Treatment of rotator cuff disease is determined by considering the patients age, occupation, degree of function required, size of rupture, degree of degradation, damage mechanism, and degree of pain. First, if there is a partial rupture of the tendon, perform a non-surgical treatment first. On the other hand, in the case of a full-layer rupture with a ruptured tendon, surgical treatment is usually performed. It is also common to consider surgery for young patients who are expected to be active, for example, for traumatic rupture due to strong external forces, for severe dysfunction and muscle weakness.

Non-surgical treatments include pain treatment using drugs or injections, joint exercises using stretching, and muscle strengthening exercises around the shoulder, and are implemented in patients with severe rupture or older than 75 years of age.

 

Surgical treatment is based on the suture of the ruptured tendon, and the main focus is to remove mucus cystitis and active membrane inflammation, which can cause pain, and to remove some bones such as scapula and tumbles that can cause tendon and impulses. In the past, it was sealed in an open manner, but now, arthroscopic sutures are widely used. If the size of the rupture is extensive and the broken rupture area is very severe, it is impossible to suture or is likely to re-break even if it is sutured. In such cases, an artificial joint surgery called a recently developed retroflexion can be performed in older adults if they are severely disabled in their lifetime due to severe pain and weakness in muscle strength.