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Rehabilitation of Rotator Cuff Injuries

  • Chapter
Rehabilitation of Sports Injuries

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Abstract

The shoulder complex is particularly susceptible to injury, as it maintains a precarious interplay between stability and motion and is repetitively stressed in occupational and sporting activities. Rotator cuff disorders are among the most common causes of pain and impaired performance in athletes, mainly those involved in repetitive overhead throwing activities and contact sports [1]. In athletes, cuff disease represents a possibly coexistent spectrum of pathologies progressing from tendon strain and edema through inflammation and microscopic failure of fibers after repetitive wear, the final stages being gross cuff fraying and tear. According to some authors [2 – 4], rotator cuff lesions maybe classified based on the etiological mechanism of injury proposed by the following scheme:

  1. 1.

    Primary or secondary compressive cuff lesion: external or subacromial impingement syndrome, posterosuperior or internal impingement syndrome

  2. 2.

    Primary or secondary tensile cuff lesion

  3. 3.

    Macrotraumatic cuff failure resulting from a single direct or indirect traumatic accident or from repetitive microtrauma displayed by a single event

Athletes involved in contact sports are more likely to sustain traumatic cuff tears because of the arms being forcefully abducted or violently pulled away from the body or by a fall or blow to the outstretched arm in a forced elevated position.

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  1. Alberto Selvanetti
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  2. Arrigo Giombini
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  3. Ignazio Caruso
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Editors and Affiliations

  1. Clinica “Valle Giulia”, Via de Notaris 2b, 00197, Rome, Italy

    Giancarlo Puddu MD, Prof.

  2. Sports Science Institute, Department of Medicine, Service of Rehabilitation and Functional Reconditioning, Via dei Campi Sportivi 46, 00197, Rome, Italy

    Arrigo Giombini MD  & Alberto Selvanetti MD  & 

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Selvanetti, A., Giombini, A., Caruso, I. (2001). Rehabilitation of Rotator Cuff Injuries. In: Puddu, G., Giombini, A., Selvanetti, A. (eds) Rehabilitation of Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-04369-1_5

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  • DOI: https://doi.org/10.1007/978-3-662-04369-1_5

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