Rotator Cuff Glossary of Terms with Definitions on MedicineNet.com

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February 10, 2012

Rotator Cuff Disease Glossary of Terms

The following are health and medical definitions of terms that appear in the Rotator Cuff Disease article.

Acromion: The projection of the scapula (the shoulder blade) that forms the point of the shoulder.
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Adhesive capsulitis: Constant severe limitation of the range of motion of the shoulder due to scarring around the shoulder joint. Adhesive capsulitis is an unwanted consequence of rotator cuff disease -- damage to the rotator cuff, the set of four tendons that stabilize the shoulder joint and help move the shoulder in diverse directions. Diabetes is also a risk factor for adhesive capsulitis.
See the entire definition of Adhesive capsulitis

Aging: The process of becoming older, a process that is genetically determined and environmentally modulated.
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Arthritis: Inflammation of a joint. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of arthritis. (see osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout, pseudogout).

Arthroscopic: Refers to a surgical technique whereby a doctor inserts a tube-like instrument into a joint to inspect, diagnose and repair tissues. It is most commonly performed in patients with diseases of the knees or shoulders. The word arthroscopic is often confused with orthoscopic. Orthoscopic means having correct vision or producing it. Orthoscopic, in other words, means free from optical distortion or designed to correct distorted vision. This fits with the prefix "ortho-", meaning straight or erect, and with "-scopic" from the Greek "skopein", to see. Orthoscopic literally is to see straight. Knee surgery performed with a small scope is arthroscopic knee surgery, not orthoscopic knee surgery.

Arthroscopy: A surgical technique whereby a tube-like instrument is inserted into a joint to inspect, diagnose and repair tissues.ÂArthroscopy is most commonly performed in patients with diseases of the knees or shoulders. The adjective "arthroscopic" is often confused with "orthoscopic." Orthoscopic means having correct vision or producing it; and free from optical distortion or designed to correct distorted vision. This fits with the prefix "ortho-", meaning straight or erect, and "-scopic" from the Greek "skopein", to see. Orthoscopic literally is to see straight. Knee surgery performed with a small scope is arthroscopic knee surgery, not orthoscopic knee surgery.

Bursitis: Bursitis is inflammation of a bursa. A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.

Capsulitis: Inflammation of the capsule of the lens, joint, liver, or labyrinth. See also: Adhesive capsulitis.

Contrast: Short for "contrast media." Contrast media are X-ray dyes used to provide contrast, for example, between blood vessels and other tissue.

Cortisone: An adrenocorticoid hormone, a naturally occurring hormone made by and secreted by the adrenal cortex, the outer part (the cortex) of the adrenal gland.
See the entire definition of Cortisone

Decompression: 1. In general, the removal of pressure.
2. In surgery, a procedure to remove pressure on a structure, as in decompression of the spinal cord.
3. The lessening of atmospheric pressure on deep-sea divers returning to the surface, or on persons ascending to great heights.

Diagnosis: 1 The nature of a disease; the identification of an illness. 2 A conclusion or decision reached by diagnosis. The diagnosis is rabies. 3 The identification of any problem. The diagnosis was a plugged IV.
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Fatigue: A condition characterized by a lessened capacity for work and reduced efficiency of accomplishment, usually accompanied by a feeling of weariness and tiredness. Fatigue can be acute and come on suddenly or chronic and persist.
See the entire definition of Fatigue

Frozen shoulder: Constant severe limitation of the range of motion of the shoulder due to scarring around the shoulder joint (adhesive capsulitis). Frozen shoulder is an unwanted consequence of rotator cuff disease: damage to the rotator cuff, the set of four tendons that stabilize the shoulder joint and help move the shoulder in diverse directions. Rotator cuff disease can be due to trauma, inflammation or degeneration. The common symptom is pain in the shoulder of gradual or sudden onset, typically located to the front and side of the shoulder, increasing when the shoulder is moved away from the body. (A person with severe tears in the rotator cuff tendons may not be able to hold that arm up).
See the entire definition of Frozen shoulder

Ibuprofen: A non-steroidal anti-inflammatory drug (NSAID) commonly used to treat pain, swelling, and fever. Common brand names for Ibuprofen include Advil, Motrin, and Nuprin.

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Inflammation: A basic way in which the body reacts to infection, irritation or other injury, the key feature being redness, warmth, swelling and pain. Inflammation is now recognized as a type of nonspecific immune response.
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Infraspinatus muscle: A muscle that assists the lifting of the arm while turning the arm outward (external rotation).
See the entire definition of Infraspinatus muscle

Injury: Harm or hurt. The term "injury" may be applied in medicine to damage inflicted upon oneself as in a hamstring injury or by an external agent on as in a cold injury. The injury may be accidental or deliberate, as with a needlestick injury. The term "injury" may be synonymous (depending on the context) with a wound or with trauma.

Joint: A joint is the area where two bones are attached for the purpose of motion of body parts. A joint is usually formed of fibrous connective tissue and cartilage. An articulation or an arthrosis is the same as a joint.
See the entire definition of Joint

MRI: Abbreviation and nickname for magnetic resonance imaging. For more information, see: Magnetic Resonance Imaging; Paul C. Lauterbur; Peter Mansfield.

Muscle: Muscle is the tissue of the body which primarily functions as a source of power. There are three types of muscle in the body. Muscle which is responsible for moving extremities and external areas of the body is called "skeletal muscle." Heart muscle is called "cardiac muscle." Muscle that is in the walls of arteries and bowel is called "smooth muscle."

Pain: An unpleasant sensation that can range from mild, localized discomfort to agony. Pain has both physical and emotional components. The physical part of pain results from nerve stimulation. Pain may be contained to a discrete area, as in an injury, or it can be more diffuse, as in disorders like fibromyalgia. Pain is mediated by specific nerve fibers that carry the pain impulses to the brain where their conscious appreciation may be modified by many factors.
See the entire definition of Pain

Prognosis: 1. The expected course of a disease.
2. The patient's chance of recovery.
The prognosis predicts the outcome of a disease and therefore the future for the patient. His prognosis is grim, for example, while hers is good.
See the entire definition of Prognosis

Radiology: The branch of medicine that uses ionizing and nonionizing radiation for the diagnosis and treatment of disease.
See the entire definition of Radiology

Rehabilitation: The process of restoration of skills by a person who has had an illness or injury so as to regain maximum self-sufficiency and function in a normal or as near normal manner as possible. For example, rehabilitation after a stroke may help the patient walk again and speak clearly again.
See the entire definition of Rehabilitation

Rheumatology: A subspecialty of internal medicine that involves the non-surgical evaluation and treatment of the rheumatic diseases and conditions. Rheumatic diseases and conditions are characterized by symptoms involving the musculoskeletal system. Many of the rheumatic diseases and conditions feature immune system abnormalities. Therefore, rheumatology also involves the study of the immune system. Classical rheumatology training includes 4 years of medical school, 1 year of internship in internal medicine, 2 years of internal medicine residency, and 2 years of rheumatology fellowship. There is a subspecialty board for rheumatology certification. The American College of Rheumatology is the official organization acting on behalf of the field of rheumatology in the United States.

Rotator cuff: A group of four tendons that stabilize the shoulder joint.
See the entire definition of Rotator cuff

Rotator cuff disease: Damage to the rotator cuff, a group of four tendons that stabilize the shoulder joint and move the shoulder in various directions.
See the entire definition of Rotator cuff disease

Shoulder: A structure made up of two main bones: the scapula (shoulder blade) and the humerus (the long bone of the upper arm). The end of the scapula, called the glenoid, is a socket into which the head of the humerus fits, forming a flexible ball-and-socket joint. The scapula is an unusually shaped bone. It extends up and around the shoulder joint at the rear to create a roof called the acromion and around the shoulder joint at the front to constitute the coracoid process. The shoulder joint is cushioned by cartilage that covers the face of the glenoid socket and the head of the humerus. The joint is stabilized by a ring of fibrous cartilage around the glenoid socket that is called the labrum. Ligaments connect the bones of the shoulder and tendons join these bones to surrounding muscles. The biceps tendon attaches the biceps muscle to the shoulder and helps stabilize the joint. Four short muscles that originate on the scapula pass around the shoulder where their tendons fuse together to form the rotator cuff.

Shoulder joint: The flexible ball-and-socket joint formed by the junction of the humerus and the scapula. This joint is cushioned by cartilage that covers the face of the glenoid socket and head of the humerus. The joint is stabilized by a ring of fibrous cartilage (the labrum) around the glenoid socket. Ligaments connect the bones of the shoulder, and tendons join these bones to surrounding muscles. The biceps tendon attaches the biceps muscle to the shoulder and helps stabilize the joint. Four short muscles that originate on the scapula pass around the shoulder, where their tendons fuse together to form the rotator cuff.
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Shoulder pain: Pain in the shoulder due to an injury or disease. The design of the shoulder joint is such that it sacrifices stability for mobility. As an extremely mobile joint that plays a central role in the action of a major extremity (the arm), the shoulder is at high risk for injury. An injury can involve the ligaments, bursae, or tendons surrounding the shoulder joint, the cartilage, menisci (plural for meniscus), or bones of the joint. Pain can also occur in the shoulder from diseases and conditions that involve the shoulder joint, the soft tissues and bones surrounding the shoulder, or the nerves that supply sensation to the shoulder area.

Stress: Forces from the outside world impinging on the individual. Stress is a normal part of life that can help us learn and grow. Conversely, stress can cause us significant problems.
See the entire definition of Stress

Subscapularis muscle: A muscle that moves the arm by turning it inward (internal rotation).
See the entire definition of Subscapularis muscle

Supraspinatus muscle: A muscle that is responsible for elevating the arm and moving it away from the body.
See the entire definition of Supraspinatus muscle

Surgery: The word "surgery" has multiple meanings. It is the branch of medicine concerned with diseases and conditions which require or are amenable to operative procedures. Surgery is the work done by a surgeon. By analogy, the work of an editor wielding his pen as a scalpel is s form of surgery. A surgery in England (and some other countries) is a physician's or dentist's office.
See the entire definition of Surgery

Symptom: Any subjective evidence of disease. Anxiety, lower back pain, and fatigue are all symptoms. They are sensations only the patient can perceive. In contrast, a sign is objective evidence of disease. A bloody nose is a sign. It is evident to the patient, doctor, nurse and other observers.

Tendinitis: Inflammation of a tendon (the tissue by which muscle attaches to bone). Tendinitis most commonly occurs as a result of injury, such as to the tendons around the shoulder or elbow. It can also occur as a result of an underlying inflammatory rheumatic disease, such as reactive arthritis or gout. Tendinitis is synonymous with tendonitis.

Tendon: The tissue by which a muscle attaches to bone. A tendon is somewhat flexible, but fibrous and tough. When a tendon becomes inflamed, the condition is referred to as tendinitis or tendonitis. Inflamed tendons are at risk for rupture.
See the entire definition of Tendon

Trauma: Any injury, whether physically or emotionally inflicted. "Trauma" has both a medical and a psychiatric definition. Medically, "trauma" refers to a serious or critical bodily injury, wound, or shock. This definition is often associated with trauma medicine practiced in emergency rooms and represents a popular view of the term. In psychiatry, "trauma" has assumed a different meaning and refers to an experience that is emotionally painful, distressful, or shocking, which often results in lasting mental and physical effects.
See the entire definition of Trauma

X-ray: 1. High-energy radiation with waves shorter than those of visible light. X-rays possess the properties of penetrating most substances (to varying extents), of acting on a photographic film or plate (permitting radiography), and of causing a fluorescent screen to give off light (permitting fluoroscopy). In low doses X-rays are used for making images that help to diagnose disease, and in high doses to treat cancer. Formerly called a Roentgen ray. 2. An image obtained by means of X-rays.

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  • Related Diseases & Conditions

    • Shoulder Bursitis
      • Shoulder bursitis is inflammation of the shoulder bursa. Bursitis may be caused by injury, infection, or a rheumatic condition. Symptoms include pain, swelling, tenderness, and pain with movement of the shoulder joint. Treatment may involve ice compresses, rest, and antiinflammatory medications and depends on whether there is an infection.
    • Frozen Shoulder
      • A frozen shoulder (adhesive capsulitis) is when the shoulder joint experiences a significant loss in its range of motion due to inflammation, scarring, or injury. Treatment involves anti-inflammatory medication, cortisone injections, and physical therapy.
    • Post-Polio Syndrome
      • Post-polio syndrome (PPS) is a group of signs and symptoms that show up two to four decades after the initial polio infection. Symptoms of PPS include fatigue, pain, sleep disorders, muscle twitching, gastrointestinal problems, and weakness. Treatment focuses on slowing down to conserve energy and relieving symptoms with pain relievers.
    • Calcific Bursitis
      • Calcific bursitis is the calcification of the bursa caused by chronic inflammation of the bursa. Calcific bursitis most commonly occurs in the shoulder. Calcific bursitis treatment includes medication for inflammation, ice, immobilization, cortisone injections, and occasionally surgical removal of the inflamed bursa.
    • Hydroxyapatite Crystal Disease
      • Hydroxyapatite crystal disease is the inflammation caused by hydroxyapatite crystals. These tiny crystals of hydroxyapatite deposit by mistake in or around joints and may cause inflammation of the joints and nearby tissues such as the tendons and ligaments (particularly causing rotator cuff problems in the shoulder). Treatment options include rest, cold application, medications to reduce inflammation, and cortisone-related medication injections.
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Rotator Cuff Disease

What is an MRI scan?

An MRI (or magnetic resonance imaging) scan is a radiology technique that uses magnetism, radio waves, and a computer to produce images of body structures. The MRI scanner is a tube surrounded by a giant circular magnet. The patient is placed on a moveable bed that is inserted into the magnet. The magnet creates a strong magnetic field that aligns the protons of hydrogen atoms, which are then exposed to a beam of radio waves. This spins the various protons of the body, and they produce a faint signal that is detected by the receiver portion of the MRI scanner. The receiver information is processed by a computer, and an image is produced.

The image and resolution produced by MRI is quite detailed and can detect tiny changes of structures within the body. For some procedures, contrast agents, such as gadolinium, are used to increase the accuracy of the images.

When are MRI scans used?

An MRI scan can...

Read the MRI (Magnetic Resonance Imaging Scan) article »







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