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Many people have symptoms of shoulder pain, which may be caused by rotator cuff tear, or subacromial bursitis, supraspinatus myositis, biceps long tenosynovitis, etc. How can you tell them apart? It can be distinguished by knowing about rotator cuff tears!
Reasons:1Inadequate blood vessels.
The supraspinatus muscle has a physiological defect with insufficient blood supply. Crushing the blood vessels of the humeral head exacerbates the ischemia here, causing degeneration. 2.
Trauma. It is the main cause of adolescent causes. Caused by abduction of the hand or holding a heavy object during a fall, sudden abduction of the shoulder joint, or spraining.
3.Chronic impingement injury to the shoulder. In middle-aged and elderly people, long-term impact of the rotator cuff, wear and inflammation cause degeneration.
It is the main cause of rotator cuff tears.
Symptoms and Signs:
1.Shoulder pain. When tearing, there may be a conscious tearing sound, and the pain is transient and worsens the next day. Pain worsens at night. May radiate to the neck and upper extremities.
2.Restricted shoulder movement. There may be a snapping sound when completely torn and a 60° to 120° pain arc in partially torn ones.
3.Tenderness. The interstitial space between the greater tuberosity and acromion is tender. Occlusion test, if the upper arm can be raised, indicates no or partial tear. Failure to lift it is a severe tear or a total tear.
4.Upper arm drop test. Abduction of the upper limb at 90° to maintain the position indicates that there is no serious injury to the rotator cuff. On the contrary, the damage is severe.
From the above symptoms and signs, you can preliminarily determine whether it is inflammation or tearing. However, if you want to make a clear diagnosis, you need to do an MRI and color ultrasound. These two tests are currently the main tests for the diagnosis of rotator cuff injuries.
1.Rotator cuff partially torn. Most don't require surgery. A cast or abduction frame can be used to hold the shoulder joint in the ** position for 3-4 weeks. Functional exercises of the shoulder joint are carried out in the later stage. If the effect is poor in strict accordance with the requirements, surgery can be performed.
2.The rotator cuff is completely torn. Surgery should be performed within 3 weeks of injury, except for those who cannot tolerate surgery**. Open surgery or arthroscopic surgery may be used. At present, arthroscopic surgery is carried out relatively well.
Don't ignore it for shoulder pain and think of it as simple frozen shoulder. Be sure to pay attention to it and go to the hospital for a clear examination.
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If there is severe pain in raising the arm, or you can't lift the arm, you need to take a film to see it, it may be a muscle strain or other problems, according to the situation**, if it is inflammation, it may be painful, but it will not affect the serious problems such as raising the arm, this needs to go to a regular hospital for corresponding examination, according to the severity, to see if surgery is needed. Hope to check it out soon, soon**.
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If the rotator cuff is injured, it must not be taken lightly and should go to the hospital for a comprehensive examination. Lacerations can be severe. In the event of a tear, surgery is generally recommended.
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Yes, at this time, it can be judged according to the pain in the shoulder, or you can go to a professional hospital to judge it through a professional instrument.
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A rotator cuff tear is a tear in the rotator cuff made up of shoulder muscles and tendons and usually requires prompt time. Here are some ways to deal with it:
1.Rest: Stop activities and avoid using the injured shoulder to avoid further injury from hail returns.
2.Ice: Applying ice to the injured shoulder can reduce pain and swelling. Ice should be applied for more than 20 minutes each time and can be done several times a day.
3.Medications**: Over-the-counter medications such as ibuprofen can be used to relieve pain and reduce swelling.
4.Physical**: Including Lubu massage, physiotherapy, traction, etc., which can help restore shoulder function.
5.Surgery**: Severe rotator cuff tears may require surgery**, including repairing a tendon or performing shoulder arthroscopic surgery.
If you have symptoms of rotator cuff tear, it is recommended to seek medical attention and receive professional medical attention**.
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The rotator cuff is composed of four muscles around the shoulder joint, like a sleeve, because the shoulder joint is often moved, causing a single or compound injury to the four muscles, the most common is the injury of the tendon of the supraspinatus muscle, that is to say, the shoulder joint, it is difficult to lift up, when it is injured, the patient can not lift the shoulder joint. In the past, rotator cuff injuries were often confused with frozen shoulder. In fact, the two pathological bases are opposite.
Rotator cuff injuries require rest, not a wide range of shoulder activities. If this is done, it can cause further aggravation of rotator cuff injury.
There are two parts to the rotator cuff injury method, one is conservative and the other is surgical. Conservative ** means that we should let the injured tendon get enough rest, strengthen the exercise of the shoulder muscles on the healthy side, and the patient should avoid doing some pushing movements, and instead use stretching to move. Topical drugs or topical drugs or analgesics can be used topically**.
The injury is relatively severe, the rotator cuff is completely torn, and after 3 to 6 months of conservative **, the effect is very poor or ineffective, and surgery is required**. Generally, we now use arthroscopic technology, and most of the rotator cuff injuries under arthroscopy can get good results.
For rotator cuff injury, it is generally combined with the doctor's physical examination, there are many professional physical examinations for rotator cuff injury, many people abduct with a positive pain arc test, that is, between abduction 60 ° and 120 °, there is obvious pain, this should be combined with the doctor's physical examination, it is best to let the doctor open the MRI examination of the shoulder joint, many patients with rotator cuff injury take an ordinary X-ray, only the bone can be seen, it can not see the soft tissue inside, generally let the patient do magnetic resonance first, magnetic resonance can see the soft tissue insideto see the rotator cuff of the source segment inside. Some hospitals even do enhanced MRI to see more clearly, once the MRI finds that there is an obvious tear in the rotator cuff, and the tear is relatively large, in this case, it is generally recommended that the patient do shoulder arthroscopic minimally invasive rotator cuff repair surgery, and encounter many huge tears of the rotator cuff, and some of the huge tears need to be reconstructed under shoulder arthroscopic rotator cuff.
The above plan is for reference only, please use the specific drug according to your own situation under the guidance of a professional doctor. This article is organized by the network, the copyright belongs to the original author, if there is any infringement, please contact me, I will delete it as soon as possible! )
It can be conservative** or surgical**, and when the pain is mild, you can choose to use drugs**, such as the arm of the cleft fruit cannot be lifted, and there is already obvious severe pain, surgery is required**. It can be an interventional method or a conservative surgical method.
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Apply a cold compress for 15 minutes and then a hot compress, and then do a light ** exercise after a week of rest.
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Symptoms of rotator cuff tears are similar to those of rotator cuff impingement, with an additional complaint of shoulder weakness. Symptoms of weakness vary from rotator cuff tendon tears to rotator cuff tendons. For example, supraspinatus tendon tears (the most common type) present with weakness during forward arm lift and overhead movements.
Many patients don't know how much strength they have lost when they have a rotator cuff tear.
After a careful history and physical examination.
For orthopedic surgeons with experience in the shoulder joint, tears are easy to diagnose. Further necessary investigations can determine the nature of the rotator cuff tear.
After evaluating symptoms, doctors do certain muscle tests to determine whether there is a rotator cuff tendon tear and rule out other conditions. Your doctor may position your arm in a specific position to replicate the symptoms described to confirm the diagnosis. There are a number of tests that distinguish between specific sites of pain and weakness to confirm the diagnosis.
Further examination evaluations include:
Diagnostic injection occlusion can help doctors differentiate.
Rotator cuff impingement syndrome.
and rotator cuff full-thickness tear. A local anesthetic is injected into the inferior-acromial bursa with inflammation to eliminate pain. If strength is not restored after a painful block, a rotator cuff tear is highly suspected.
X-rays can show signs of arthritis, fractures, and bone spurs on the acromion. Because x-rays show only bony structures and not soft tissues, there are often no positive findings in the early stages of rotator cuff injury.
MRI (Magnetic Resonance Imaging) can see muscles and other soft tissues that are not visible on X-rays.
Shoulder arthrography is another method that can help diagnose rotator cuff tears. A contrast agent is injected into the shoulder joint and x-rays are taken, and if there is a tear in the rotator cuff tendon, the contrast will pass through the rotator cuff tear and show up on the x-ray. Ultrasonography can also be used to diagnose rotator cuff tears, but results are difficult to evaluate and highly skill-dependent on the operator and the diagnosing physician.
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Hello: In order to make the curative effect of frozen shoulder, we must first make a clear diagnosis, so that the best can be targeted and achieve good results. The differential diagnosis should be detailed to rule out rotator cuff incomplete rupture, calcific tendonitis, and biceps longus tendonitis, which are most likely to be misdiagnosed, as these disorders can cause pain and mobility limitation in the glenohumeral joint.
Secondly, it is necessary to enhance the patient's self-confidence in overcoming the disease, because frozen shoulder can be healed on its own, and if it is done properly, it can be obtained at the beginning or at the beginning of the freezing period by stopping the development of the disease process. The most important thing in frozen shoulder is to insist on self-exercise and massage, which can be supplemented by drugs and physiotherapy and local occlusion.
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There are several ways to deal with rotator cuff tears:
1.Partial rotator cuff injury. **Generally, it is mainly for pain relief, and local fixation and rest of the affected limb can be carried out at the same time.
Generally through a series of related functional exercises, most patients will get a good **. In addition, shock waves**, ultra-short waves**, etc. can effectively promote local microcirculation, improve the conditions for local ligament repair, and can also greatly assist in the repair of part of rotator cuff injuries.
2.Complete rotator cuff injury. If the end of the stump is well aligned and the injury wound is very small, minimally invasive** can generally be used, such as shoulder arthroscopy for microscopic repair.
3.Multiple rotator cuff injuries. Surgery may be required**.
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It is recommended that you can use traditional Chinese medicine to apply externally** to take drugs to dispel cold and dehumidify, invigorate blood and remove blood stasis**, so that the affected area can eliminate edema and inflammation and relieve local discomfort. And with the blood circulation and blood stasis, cold and dampness to improve metabolism, to achieve the purpose. It is recommended that you ** as soon as possible**!
At the same time, it can also be used with TCM massage physiotherapy to assist**. Recently, pay attention to the warmth of the shoulders and do not get cold from the wind, otherwise the condition will be aggravated.
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If the rotator cuff is completely torn, you can sew it back yourself, if you don't take it to the tailor shop and ask someone else to sew it for you, or just throw it away and buy a new one.
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If it's clothes, it depends on the mood! If it is a rotator cuff injury and tear, you should go to the hospital for an examination first, listen to the doctor's opinion**, don't hear hearsay, delay the condition, and the gains outweigh the losses.
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The character is completely strong, we can go to the local hospital to see a doctor, do a physiotherapy or something.
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Then tear it off completely.
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Hello, it is a pleasure to serve you and give you the following answer: Can a rotator cuff tear identify whether it was beaten? No.
Rotator cuff tears can be caused by a variety of reasons, such as falling, pulling, tearing, etc., which can lead to rotator cuff tears. Therefore, it is not possible to determine whether the grip has been beaten or not just by virtue of a rotator cuff tear. Workaround:
1.If the rotator cuff tear is caused by being beaten, you can determine whether it was caused by beating by observing the shape, size, and depth of the wound. 2.
If the rotator cuff tear is caused by other reasons, you can judge whether it is caused by other causes by observing the location of the tear and the state of the sutures. Personal Tips:1
When wearing clothes, you should pay attention to the quality of the clothes and try to choose better quality clothes to avoid tears due to the poor quality of the clothes. 2.During the activity, you should pay attention to safety and try to avoid falling, pulling, etc., so as not to cause tears in your clothes.
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According to the provisions of Item 13 of Grade 10 Disability of GB T 16180-2014 "Mild Dysfunction Left After Laceration of Tendon and Ligament of Large Joints of the Limbs" in the "Disability Rating of Work-related Injuries and Occupational Diseases of Employees in the Appraisal of Labor Ability", if the injury meets the above requirements, the disability level shall be Grade 10 disability, and the specific results shall depend on the appraisal conclusion of the expert group of the Labor Ability Appraisal Committee;
2.First of all, it is necessary to apply to the local labor department for work-related injury identification, which is the premise of all problems, without applying for work-related injury identification, it is impossible to apply for labor ability appraisal, and then obtain disability compensation, if the unit does not apply, the individual employee must apply within one year from the date of injury;
3.If the injury is determined to be a work-related injury, after the injury is stabilized, you can apply for a labor ability appraisal to identify the work-related injury level, and then calculate the amount of disability compensation according to the disability level;
4.If you don't understand anything, you can directly consult the local labor department at 12333!
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