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Shoulder

Rotator Cuff Tear

Signs and Symptoms
Diagnosis
Treatment

Signs and Symptoms

Although there are many reasons for shoulder pain, a common problem for people over 40 years of age is a rotator cuff tear. The rotator cuff is comprised of the muscles and tendons that surround the top of the upper arm bone - the humerus -- and hold it in the shoulder joint. A sudden tear may result from a single traumatic event or develop gradually because of repetitive overhead activities. A partial tear may cause pain when the arm is lifted in a certain arc away from the body (painful arc syndrome) and a complete tear may limit the aility to raise the arm.

Signs and symptoms of rotator cuff tears are:

  • Recurrent, constant pain, particularly with overhead activities.
  • Pain at night that prevents you from sleeping on the affected side.
  • Muscle weakness, especially when attempting to lift the arm.
  • Catching and grating or cracking sounds when the arm is moved.
  • Limited motion.
  • Usually occurs in the dominant arm, which is the right shoulder for right-handed people; left shoulder for left-handed people.
  • May be triggered by a specific incident.

 

Reviewed by health care specialists at UCSF Medical Center.
Last updated May 8, 2007

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