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Ichilov Medical Center
Orthopaedics

Tendon and Muscle Tears of the Shoulder

Tears of muscles and tendons are a fairly common injury in active sports. Muscle tears are most often closed, without breaking the integrity of the skin. A tendon tear occurs along the tendon or at its attachment to the bone and is accompanied by impaired muscle function.

Causes

Tears of healthy tendons occur very rarely. The cause may be a very large load that does not correspond to the mechanical strength of the tissues. Dystrophic processes in tendons are usually the result of constant high loads, impaired blood circulation or metabolism, prolonged exposure to cold, or inflammatory processes. Shoulder muscle tears are characteristic of people engaged in active sports such as volleyball, rowing, and weightlifting. Injuries are most likely to occur in muscles that are not warmed up or are overworked. Tears happen with large and sudden loads on the muscles.

Symptoms of Shoulder Tendon and Muscle Tears

A characteristic symptom of shoulder muscle damage is sharp pain accompanied by a sound similar to a click and a sensation of tearing. Pain may also be felt during overhead arm movement. Some patients experience intense pain in the front part of the shoulder. Very often, when a tendon tears, the patient may not experience pain. On the segment between the elbow and shoulder, palpation may reveal a lump or thickening. This situation may be observed in chronic injuries and can persist until a complete tendon tear occurs.

Diagnosis of Shoulder Tendon and Muscle Tears in Israel

For diagnosing tendon and muscle injuries of the shoulder in Israel, an examination by a specialist and review of the medical history may be sufficient. Instrumental methods may be used to confirm the diagnosis. X-rays in this case can only help establish indirect signs of tendon or muscle integrity violations. Ultrasound examination of the shoulder area is considered the most informative. The disadvantage of this method is the inability to detect small tears. The most reliable imaging method is MRI, which allows for the detection of even minor changes in the structure of the shoulder.

Treatment of Shoulder Tendon and Muscle Tears in Israel

Treatment of muscle and tendon injuries in Israel can be performed both conservatively and surgically. Surgical treatment is most often applied to younger individuals and for cosmetic purposes. Arthroscopic methods are primarily used, which allow for the restoration of ligament integrity with minimal invasion. Conservative treatment involves complete unloading of the damaged muscle group and subsequent therapeutic exercise. Medication therapy is also conducted to eliminate inflammation and pain sensations.

Prevention

It should be remembered that muscle and tendon injuries most often occur under loads that do not correspond to their capabilities. Therefore, one should approach the choice of load thoughtfully, gradually increasing it. Active sports should always be preceded by a warm-up – this helps to warm up the muscles and prepare the joints.

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