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Recent News and Articles on the Keywords: rotator cuff + cuff + rotator  Related to the article below (Last Update: 8/5/2008)

Maine's strain puts Mets pitcher on shelf Newsday, NY - Jul 30, 2008 MIAMI - John Maine's status remains uncertain after yesterday's MRI revealed what the Mets described as a "mild strain" of his right rotator cuff. ... Maine endures mild strain of rotator cuff MLB.com - Jul 29, 2008 By Anthony DiComo / MLB.com An MRI taken Tuesday revealed that Maine has a mild strain of his right rotator cuff. He is day-to-day and will rejoin the Mets ... The Associated Press Mets starter John Maine has strained rotator cuff The Associated Press - Jul 29, 2008 MIAMI (AP) ? New York Mets pitcher John Maine was diagnosed Tuesday with a mild strain in his right rotator cuff, and he may be able to make his next ... Maine to miss next start with rotator cuff strain SportingNews.com - Aug 1, 2008 ... he's just a little less optimistic now, after MLB.com reported that an MRI on that wounded right shoulder revealed a "mild strain" of his rotator cuff. ... MAINE'S NEXT START PUSHED BACK New York Post, NY - Aug 1, 2008 As much as Maine wants to pitch, he said news of a problem with his rotator cuff will serve as a wake-up call. The 27-year-old has never had a serious arm ... Maine MRI reveals rotator cuff strain Staten Island Advance - SILive.com, NY - Jul 30, 2008 MIAMI -- The result of John Maine's MRI revealed a mild strain of his right rotator cuff. The Mets are listing him as day to day. Maine will rejoin the team ... Mets' Maine to miss next start Sports Network - Aug 1, 2008 Maine has been suffering from a strained rotator cuff since exiting his July 28 start after just 4 1/3 innings. MRI results earlier in the week came back ... Maine (rotator-cuff strain) won't start Sunday Newsday, NY - Aug 2, 2008 ... HOUSTON - It was hardly surprising Friday when Jerry Manuel said John Maine will be skipped Sunday because of a rotator-cuff strain. ... What Ails You: Don?t wait on shoulder pain help Desert Dispatch, CA - Four of these muscles form what is commonly called the rotator cuff. While the front of the shoulder joint is held stable by a complex series of ligaments ... New York Daily News Mets pitchers Wagner, Maine hit with injuries CBC.ca, Canada - Aug 3, 2008 An examination on the right-hander on Tuesday resulted in the diagnosis of a mild strain in his right rotator cuff. Manuel, however, insisted that Maine's ... Mets place Maine on DL; Wagner to undergo MRI Sports Network WAGNER APPEARS HEADED TO THE DL New York Post The 'Lucky Stars' in Philly Are Quite Evil SportingNews.com Baltimore Sun - New York Times all 331 news articles »

Rotator Cuff Tears

One of the most common shoulder conditions for people over 40 years old is a rotator cuff tear. The rotator cuff is comprised of the muscles and tendons that surround the top of the upper arm bone (humerus) and hold it in the shoulder joint. A tear may result suddenly from a single traumatic event or develop gradually because of repetitive overhead activities.

There are many symptoms for a rotator cuff tear:

• Recurrent, constant pain, particularly with overhead activities
• Pain at night that prevents you from sleeping on the affected side
• Muscle weakness, especially when lifting the arm
  
• Catching, grating or cracking sounds when the arm is moved

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• Limited motion
  
• Usually occurs in the dominant arm (right shoulder for right-handed people; left shoulder for left-handed people)
• May be triggered by a specific incident
  

• Repetitive overhead motion, such as pitching or painting a ceiling
  
• Heavy lifting
  
• Trauma from excessive force, such as a fall
  
• Degeneration due to aging or reduced blood flow to the tendon
  
• Narrowing of the space (acromioclavicular arch) between the collarbone (clavicle) and the top portion (acromion) of the shoulder bone (scapula).
• Rubbing of the cuff surface by the top of the shoulder bone.
  

Your doctor will discuss your symptoms and the circumstances around the time when they first appeared. He or she may ask if you had any recent injuries or accidents.

During a physical examination, the doctor will look at the top and back of your shoulder to see if the muscles have begun to shrink (atrophy). You may be asked to move your arm in several directions, or to hold it in various positions. X-rays and other diagnostic imaging scans can help the doctor see any problems with the bones. One such test is an arthrogram, in which a dye is injected into the joint before the X-ray is taken. Other imaging tests include magnetic resonance imaging (MRI) and ultrasound.

There are two types of rotator cuff tears:

• Partial, which is a tear that doesn't completely sever the tendon. This type of injury may respond well to nonsurgical treatments. If it does not, surgery may be done.
• Full thickness tears, in which the tendon is torn into two pieces. This type of tear requires surgery to repair.

The specific treatment your doctor uses will depend on your injury, the amount of pain you are having and your ability move and use your arm.

Usually the first approach to treatment is conservative treatment - care that does not involve surgery. This type of treatment involves resting your arm and shoulder, taking drugs to reduce the swelling and help control pain, physical therapy or corticosteroid injections can help reduce pain but cannot be repeated frequently because they can also weaken the tendon.

Ultrasound can enhance the ability of drugs that are applied to the surface of your body. It also has warming effects that may help healing.

There are several surgical options to treat rotator cuff tears, depending on the size, depth, and location of the tear. If other problems with the shoulder are discovered during the surgery, they will be corrected as well.

• Arthroscopy, in which miniature instruments are inserted into small incisions, can be used to remove bone spurs or inflammatory portions of muscle and to repair lesser tears.
  
• A mini-open repair that combines arthroscopy and a small incision can be used to treat full-thickness tears.
• In more severe cases, open surgery is required to repair the injured tendon. Sometimes a tissue transfer or a tendon graft is used.
  
  
• Shoulder joint replacement is also an option for extreme cases.

It takes some time to recover from shoulder surgery. Full functioning may not return for six months or more. Your doctor will recommend a program of exercises to strengthen and restore motion, including physical therapy. Although every case is unique, surgery can relieve pain for most people and rehabilitation can restore functional range of motion.