rotatorcufftendinopathie

Rotatorcufftendinopathie, also known as rotator cuff tendinopathy, is a common shoulder disorder characterized by pain, inflammation, and degeneration of the tendons of the rotator cuff. The rotator cuff is a group of four muscles and their tendons—supraspinatus, infraspinatus, teres minor, and subscapularis—that stabilize the shoulder joint and facilitate arm movements.

This condition typically results from overuse, repetitive overhead activities, aging-related degeneration, or trauma. Patients often present with gradual or sudden shoulder pain, which worsens with arm elevation, lifting, or reaching behind the back. Night pain and weakness in shoulder movements may also occur.

Diagnosis is primarily clinical, involving patient history and physical examination, including tests such as the Neer and Hawkins-Kennedy impingement signs. Imaging modalities like ultrasound or magnetic resonance imaging (MRI) can aid in assessing the extent of tendon degeneration or tears.

Treatment approaches focus on relieving symptoms and restoring function. Conservative management includes activity modification, physical therapy emphasizing rotator cuff strengthening and stretching, non-steroidal anti-inflammatory drugs (NSAIDs), and corticosteroid injections in some cases. Most cases respond well to non-invasive methods, but persistent symptoms may require surgical intervention, such as rotator cuff repair.

Prevention involves maintaining shoulder strength and flexibility, avoiding repetitive overhead activities without proper technique, and addressing early symptoms promptly. While rotatorcufftendinopathie can significantly impact daily activities and quality of life, early diagnosis and appropriate management generally lead to favorable outcomes.