A 23-year-old man presents following a fall onto his left shoulder whilst playing rugby. He complains of pain throughout the shoulder and on examination has weakness when testing internal rotation of the arm compared to the contralateral side.
Radiographs are negative.
Injury to which tendon would explain his symptoms?
A Deltoid
B Infraspinatus
C Subscapularis
D Supraspinatus
E Teres minor
Answer:
C Subscapularis
Discussion: The rotator cuff is a mesh of four tendon insertions that insert into the greater and lesser tuberosity of the humerus, covering the shoulder capsule and reinforcing the stability of the glenohumeral joint.
The four muscles of the rotator cuff are :
- Subscapularis
- Infraspinatus
- Supraspinatus
- Teres minor
- Subscapularis - Internal rotation
- Infraspinatus - External rotation
- Supraspinatus - Abduction
- Teres minor - External rotation
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