Institute for Sports Medicine Frankfurt Main

Shoulder tendon irritation of the Musculus supraspinatus

1. Risk kinds of sport:

Throwing, Wrestling, Judo, Tennis, Volleyball, Golf, Weightlifting

2. Anatomy:

Muscle, which runs from the shoulder blade to the upper arm and belonged to the rotator cuff

3. Function:

Rotation outwards and spreading of the arm

4. Injury mechanism:

- uncontrolled falls
- Collision with the opponent
- Overload
- uncontrolled interception of weights (e.g. assistance when doing gymnastics)

5. Symptoms:

- typically night pain
- reduced spreading and outward turn the arm with usually free passive mobility
- “painful elbow” when spreading between 60° 120°
- Pressure pain at the lateral upper arm head
- partial function loss
- with chronic process Einsteifung of the shoulder joint
- painful aprons - and neck grasp

6. First measures:

- Immobilizing
- Cooling concerned the range (with it do not put the ice directly on the skin)

7. Diagnostics:

- Clinical investigation by the physician
- Sonographie
- Nuclear spin tomography

8. Therapy: (Caution, frequently lengthily!!!)

a) Conservative therapy (usually)
- Antiphlogistika
- Injections
- Physiotherapie
- Extrakorporale shock wave therapy (= ESWT)
b) Operational therapy
- with strong pain or pronounced function functioning, which does not improve with conservative therapy

9. Physiotherapy / rehablitation:

- Cooling
- Electrical therapy
- Lymphdrainage
- Patient gymnastic, training therapy, ISO kinetics

10. Prevention:

- Muscular Dysbalance adjusts (stretch of shortened musculature and work out of weak musculature)
- purposeful sufficient warming of the musculature and stretch up after training
- Technique training

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