Arm Anatomy, Rotator Cuff, Shoulder Injury

 

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 The Rotator Cuff is the capsule that holds the shoulder together.   It is made up of fibrous tissue that surrounds the head of the upper arm as it fits into the shoulder joint. As you can see the upper part of the arm actually fits into a joint that is flat, instead of cup shaped.  For this reason the muscles and the ligaments holding the shoulder together must be balanced to keep the arm in the shoulder joint, while still giving the shoulder the great rotation that it normally has. The capsule is made of fibrous tissue that comes together from all the tendons leading from the muscles.  The rotator cuff is not seen in these photo illustrations,  but it's place of attachment is identified.

In the picture below notice the AC Joint.  This is a point of attachment between  the collar bone (clavicle) and the shoulder blade as it comes projects forward.  The AC joint is kept together by ligaments that bridge the joint.  When and injury occurs such as a fall, or a collision, the ligaments can become torn, resulting in the end of the collar bone (clavicle) raising up, as known as a shoulder separation. (not to be confused with a shoulder dislocation)  This creates a less supported shoulder structure, and is also painful condition.  Sometimes a complete 3 degree tear of the AC joint ligaments will need to be surgically wired together to restore the proper positioning.  




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