Overview
About Rotator Cuff Problems
Rotator cuff problems span a spectrum from tendinitis (inflammation of the tendon) to partial thickness tears to full-thickness complete tears. They are extremely common — accounting for up to 70% of all shoulder pain presentations. The supraspinatus tendon is most commonly affected. Diagnosis is confirmed with MRI. Management ranges from physiotherapy and injections for mild-to-moderate cases to arthroscopic repair for significant tears.
Key Benefits
MRI-based precise characterisation of tendinitis versus partial versus full tear
Physiotherapy and injection therapy highly effective for tendinitis and partial tears
Arthroscopic repair available for full-thickness tears with high success rates
Early treatment prevents progression from partial to complete tear
Comprehensive rehabilitation restores shoulder strength and overhead function
Frequently Asked Questions
What is the rotator cuff?
The rotator cuff is a group of four muscles and their tendons (supraspinatus, infraspinatus, teres minor, subscapularis) that surround the shoulder joint, keep the ball centred in the socket, and allow lifting and rotating the arm.
What is rotator cuff tendinitis?
Tendinitis is inflammation of the rotator cuff tendons, usually caused by repetitive overhead activities, poor posture, or age-related degeneration. It causes aching shoulder pain and difficulty lifting the arm, and typically responds well to physiotherapy and injections.
Can a partial rotator cuff tear become complete?
Yes — untreated partial tears can progress to full-thickness tears over time, especially with continued overhead activity or further injury. This is why early diagnosis and treatment is important.
What is shoulder impingement and how is it related to rotator cuff?
Shoulder impingement occurs when the rotator cuff tendons are pinched between the humeral head and the acromion (a bony arch above). Repeated impingement causes tendinitis and can progress to tears. Subacromial decompression by arthroscopy creates more space for the tendons.
How successful is rotator cuff repair surgery?
Arthroscopic rotator cuff repair has an overall success rate of 85–95% for pain relief and functional improvement. Success depends on tear size, chronicity, patient age, and compliance with rehabilitation. Larger and older tears have lower healing rates.