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The rotator cuff tendons are attached to the humerus at the shoulder joint and the clavicle (collarbone). The rotator cuff comprises four muscles: supraspinatus (upper portion), infraspinatus (lower portion), subscapularis (lateral portion) and teres minor (medial portion). The subscapularis muscle is the primary muscle of the rotator cuff and is very important in shoulder joint movement. The rotator cuff muscles are critical for shoulder function, and are often injured because of previous shoulder injury and the repeated use of the shoulder. If the rotator cuff muscles are injured and not treated, they will become scarred and inflamed. When the rotator cuff muscles are injured and become scarred and inflamed, the arm becomes stiff and painful.
Shoulder impingement is a painful condition that occurs when bony growths (bone spurs) on the side of the shoulder that rub against the rotator cuff tendons, causing pain. The impingement can also occur in the bursa between the rotator cuff tendons and the bone in the shoulder joint. Commonly, the shoulder impingement syndrome develops following a shoulder injury. Shoulder injuries are the most common cause of shoulder impingement, followed by the repetitive use of the shoulder. Wrist and hand injuries are a common cause of shoulder impingement. Shoulder impingement syndrome is a common cause of shoulder pain, and it can lead to other conditions, including shoulder tear. It is estimated that about 50% of people with rotator cuff tears will develop shoulder impingement syndrome. Its symptoms include: pain and stiffness in the shoulder, arm and neck; swelling of the arm; and loss of strength and range of motion in the shoulder.
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