379:
with the delayed surgical group". The review noted that the level of significance of the study was not reported, and the review chose not to include it as one of their conclusions. Instead it concluded that "The paucity of evidence related to early versus delayed surgery is of particular concern, as patients and providers must decide whether to attempt initial nonoperative management or proceed immediately with surgical repair". In terms of operative techniques, differences in neither cuff integrity nor shoulder function were reported in studies comparing single-row versus double-row suture anchor fixation and mattress locking versus absorbable sutures. Postoperatively, a slight advantage was evident in patients who performed continuous passive motion alongside physical therapy, as opposed to those who solely performed physical therapy. There is insufficient evidence to adequately compare the effects of operative against nonoperative interventions. Complications were reported very seldom, or were not determined to be clinically significant.
470:
423:
411:
510:
383:
The results of the study included the return to sports and original functionality of 95.8% of the patients after a mean of 5.3 post-operative months. A significant decrease in pain was observed over time following removal of the calcification. The study showed the overall effectiveness of arthroscopic procedures on shoulder repair, and the lack of risk experienced. Before surgery, supraspinatus tendonitis should be ruled out as the cause of pain.
29:
498:
41:
422:
333:
The supraspinatus forms part of the rotator cuff and is one of its most frequently damaged components, whether from acute injury or gradual degeneration. Bad posture and age are leading risk factors, with a high prevalence of unsymptomatic partial and full tears, as well as symptomatic syndromes with
813:
Seida J, Schouten J, Mousavi S, Tjosvold L, Vandermeer B, Milne A, Bond K, Hartling L, LeBlanc C, Sheps D. Comparative
Effectiveness of Nonoperative and Operative Treatment for Rotator Cuff Tears. Comparative Effectiveness Review No. 22. (Prepared by the University of Alberta Evidence-based Practice
378:
A comparative effectiveness review of nonoperative and operative treatments for rotator cuff tears was performed at the
University of Alberta Evidence-based Practice Center in 2010. The review identified one study which reported that, "Patients receiving early surgery had superior function compared
382:
A 2016 study evaluating the effectiveness of arthroscopic treatment of rotator cuff calcification firmly supported surgical intervention. Calcification of the supraspinatus tendon is a major contributor to shoulder pain in the general population and is often worsened following a supraspinatus tear.
469:
324:
to perform abduction, including when the arm is in an adducted position. Beyond 15 degrees, the deltoid muscle becomes increasingly more effective at abducting the arm and becomes the main propagator of this action.
814:
Center under
Contract No. 290-02-0023.) AHRQ Publication No. 10-EHC050. Rockville, MD: Agency for Healthcare Research and Quality. July 2010. Available at: www.effectivehealthcare.ahrq.gov/reports/final.cfm.
45:
Posterior view of muscles connecting the upper extremity to the vertebral column. Supraspinatus muscle is labeled in red at right, while it is covered by other muscles at left.
891:
410:
175:
1489:
884:
585:
Thomazeau, H.; Duval, J. M.; Darnault, P.; Dréano, T. (1996). "Anatomical relationships and scapular attachments of the supraspinatus muscle".
509:
1494:
1283:
1279:
1206:
664:
548:
151:
1250:
1167:
1098:
335:
363:
of the shoulder may demonstrate a high-riding humeral head, with an acromiohumeral distance of less than 7 millimetres (0.28 in).
1622:
1103:
877:
1231:
689:
497:
1563:
1042:
1456:
1340:
1335:
1330:
1157:
1014:
320:. It independently prevents the head of the humerus from slipping inferiorly. The supraspinatus works in cooperation with the
1588:
632:
1527:
1484:
1451:
1300:
1295:
1236:
170:
391:
The suprascapular nerve which innervates the supraspinatus can be damaged along its course in fractures of the overlying
1196:
1632:
1201:
1004:
343:
182:
113:
72:
56:
1532:
1290:
1226:
1060:
1463:
1446:
360:
316:
The supraspinatus muscle performs abduction of the arm, and pulls the head of the humerus medially towards the
1347:
1022:
756:
Moosikasuwan JB, Miller TT, Burke BJ (2005). "Rotator cuff tears: clinical, radiographic, and US findings".
435:
396:
232:
118:
1517:
1501:
1379:
1191:
1050:
792:
460:
158:
146:
1627:
1369:
1186:
1412:
1384:
949:
939:
636:
455:
372:
236:
94:
1479:
1391:
1325:
1136:
985:
980:
301:
106:
705:
Sambandam, Senthil Nathan; Khanna, Vishesh; Gul, Arif; Mounasamy, Varatharaj (December 18, 2015).
1593:
1568:
1126:
956:
944:
610:
445:
440:
253:
212:
61:
1032:
855:
773:
738:
685:
660:
654:
628:
602:
544:
235:
the arm at the shoulder. The spine of the scapula separates the supraspinatus muscle from the
1320:
1131:
845:
837:
765:
728:
718:
594:
480:
269:
220:
78:
28:
1441:
1274:
1088:
1083:
1078:
1055:
826:"Return to Sports After Arthroscopic Treatment of Rotator Cuff Calcifications in Athletes"
375:
for full-thickness supraspinatus tears is effective for improving shoulder functionality.
305:
824:
Ranalletta M, Rossi LA, Sirio A, Bruchmann G, Maignon GD, Bongiovanni SL (October 2016).
1407:
975:
924:
850:
825:
733:
706:
321:
317:
1616:
929:
614:
228:
265:
1269:
339:
841:
163:
859:
777:
742:
723:
475:
Action of right supraspinatus muscle, anterior view. Three bones shown are
40:
606:
912:
769:
656:
Travell & Simons' Myofascial Pain and
Dysfunction: Upper half of body
476:
429:
392:
289:
1152:
598:
488:
484:
273:
224:
216:
122:
82:
65:
627:
D.F. Gazielly, P. Gleyze & T. Thomas, 1996, "The Cuff," Elsevier,
1544:
1361:
1070:
1027:
966:
900:
869:
285:
89:
211:) is a relatively small muscle of the upper back that runs from the
188:
334:
chronic pain. Connected pathologies include acromial impingement,
134:
101:
1426:
873:
416:
Position of the supraspinatus muscle (shown in red). Animation.
999:
904:
33:
Position of the supraspinatus muscle (red) seen from the back.
564:
252:
The supraspinatus muscle arises from the medial two-thirds
653:
David G. Simons; Janet G. Travell; Lois S. Simons (1999).
395:, which can reduce the person's ability to initiate the
292:. The tendon blends with the shoulder joint capsule.
659:. Lippincott Williams & Wilkins. pp. 541–.
1577:
1552:
1543:
1510:
1472:
1434:
1425:
1400:
1360:
1309:
1258:
1249:
1215:
1175:
1166:
1151:
1114:
1069:
1041:
1013:
998:
965:
911:
264:The supraspinatus tendon inserts onto the superior
169:
157:
145:
133:
128:
112:
100:
88:
71:
55:
50:
21:
543:(12th ed.). Elsevier Australia. p. 45.
707:"Rotator cuff tears: An evidence based approach"
503:Diagram of the human shoulder joint, front view
338:, and poor sleep, especially on the side. Both
680:Drake & Vogl & Mitchell (2014-04-03).
515:Diagram of the human shoulder joint, back view
885:
8:
648:
646:
644:
1549:
1431:
1255:
1172:
1163:
1010:
917:
892:
878:
870:
795:. Bennett Orthopedics & Sportsmedicine
300:The supraspinatus muscle is innervated by
288:passes laterally beneath the cover of the
39:
27:
849:
732:
722:
346:are now effective methods of diagnosis.
791:Bennett, William F. (21 October 2014).
682:Gray´s Anatomy for students 3rd edition
526:
406:
186:
18:
534:
532:
530:
7:
239:, which originates below the spine.
793:"Arthroscopic Supraspinatus Repair"
204:
14:
304:(C5-6) of the upper trunk of the
508:
496:
468:
421:
409:
587:Surgical and Radiologic Anatomy
1280:extensor carpi radialis longus
1207:flexor digitorum superficialis
1:
371:One study has indicated that
711:World Journal of Orthopedics
638:, accessed 21 November 2014.
1490:flexor digiti minimi brevis
539:Sinnatamby, Chummy (2011).
1649:
1232:flexor digitorum profundus
183:Anatomical terms of muscle
1623:Muscles of the upper limb
920:
684:. Churchill Livingstone.
284:The supraspinatus muscle
181:
38:
26:
1457:abductor pollicis brevis
1341:extensor pollicis longus
1336:extensor pollicis brevis
1331:abductor pollicis longus
842:10.1177/2325967116669310
836:(10): 2325967116669310.
428:Muscles around the left
361:projectional radiography
227:. It is one of the four
219:(shoulder blade) to the
215:superior portion of the
16:Muscle of the upper back
436:Latissimus dorsi muscle
1495:abductor digiti minimi
1485:opponens digiti minimi
1452:flexor pollicis brevis
1301:extensor carpi ulnaris
1296:extensor digiti minimi
1237:flexor pollicis longus
724:10.5312/wjo.v6.i11.902
461:Triceps brachii muscle
140:musculus supraspinatus
121:of arm and stabilizes
1370:bicipital aponeurosis
1197:flexor carpi radialis
329:Clinical significance
1564:extensor retinaculum
1202:flexor carpi ulnaris
770:10.1148/rg.256045203
456:Infraspinatus muscle
451:Supraspinatus muscle
373:arthroscopic surgery
237:infraspinatus muscle
95:Suprascapular artery
22:Supraspinatus muscle
1392:antebrachial fascia
1326:anatomical snuffbox
1137:triangular interval
1094:intermuscular septa
986:infraspinous fascia
981:supraspinous fascia
830:Orthop J Sports Med
432:, seen from behind.
302:suprascapular nerve
107:Suprascapular nerve
1633:Shoulder abductors
1594:palmar aponeurosis
1589:flexor retinaculum
1569:extensor expansion
1413:osborne's ligament
1291:extensor digitorum
1227:pronator quadratus
1127:quadrangular space
1061:articularis cubiti
599:10.1007/BF02346130
565:"Injured Shoulder"
446:Teres minor muscle
441:Teres major muscle
254:supraspinous fossa
213:supraspinous fossa
77:Superior facet of
62:Supraspinous fossa
1610:
1609:
1606:
1605:
1602:
1601:
1464:adductor pollicis
1447:opponens pollicis
1421:
1420:
1356:
1355:
1245:
1244:
1147:
1146:
994:
993:
666:978-0-683-08363-7
550:978-0-7295-3752-0
459:13. long head of
359:Antero-posterior
231:muscles and also
197:
196:
192:
1640:
1582:
1557:
1550:
1432:
1348:extensor indicis
1314:
1263:
1256:
1220:
1180:
1173:
1164:
1132:triangular space
1023:coracobrachialis
1011:
918:
894:
887:
880:
871:
864:
863:
853:
821:
815:
811:
805:
804:
802:
800:
788:
782:
781:
753:
747:
746:
736:
726:
702:
696:
695:
677:
671:
670:
650:
639:
625:
619:
618:
582:
576:
575:
573:
571:
561:
555:
554:
536:
512:
500:
481:coracoid process
472:
425:
413:
270:greater tubercle
256:of the scapula.
221:greater tubercle
206:
189:edit on Wikidata
79:greater tubercle
43:
31:
19:
1648:
1647:
1643:
1642:
1641:
1639:
1638:
1637:
1613:
1612:
1611:
1598:
1578:
1573:
1553:
1539:
1506:
1502:palmaris brevis
1468:
1417:
1396:
1352:
1310:
1305:
1275:brachioradialis
1259:
1241:
1216:
1211:
1192:palmaris longus
1176:
1155:
1143:
1110:
1089:brachial fascia
1084:axillary fascia
1079:axillary sheath
1065:
1051:triceps brachii
1037:
1002:
990:
961:
907:
898:
868:
867:
823:
822:
818:
812:
808:
798:
796:
790:
789:
785:
764:(6): 1591–607.
755:
754:
750:
717:(11): 902–918.
704:
703:
699:
692:
679:
678:
674:
667:
652:
651:
642:
626:
622:
584:
583:
579:
569:
567:
563:
562:
558:
551:
538:
537:
528:
523:
516:
513:
504:
501:
492:
473:
464:
458:
453:
448:
443:
438:
433:
426:
417:
414:
405:
389:
369:
357:
352:
336:frozen shoulder
331:
314:
306:brachial plexus
298:
282:
262:
250:
245:
193:
46:
34:
17:
12:
11:
5:
1646:
1644:
1636:
1635:
1630:
1625:
1615:
1614:
1608:
1607:
1604:
1603:
1600:
1599:
1597:
1596:
1591:
1585:
1583:
1575:
1574:
1572:
1571:
1566:
1560:
1558:
1547:
1541:
1540:
1538:
1537:
1536:
1535:
1530:
1520:
1514:
1512:
1508:
1507:
1505:
1504:
1499:
1498:
1497:
1492:
1487:
1476:
1474:
1470:
1469:
1467:
1466:
1461:
1460:
1459:
1454:
1449:
1438:
1436:
1429:
1423:
1422:
1419:
1418:
1416:
1415:
1410:
1408:cubital tunnel
1404:
1402:
1398:
1397:
1395:
1394:
1389:
1388:
1387:
1382:
1375:common tendons
1372:
1366:
1364:
1358:
1357:
1354:
1353:
1351:
1350:
1345:
1344:
1343:
1338:
1333:
1323:
1317:
1315:
1307:
1306:
1304:
1303:
1298:
1293:
1288:
1287:
1286:
1277:
1266:
1264:
1253:
1247:
1246:
1243:
1242:
1240:
1239:
1234:
1229:
1223:
1221:
1213:
1212:
1210:
1209:
1204:
1199:
1194:
1189:
1187:pronator teres
1183:
1181:
1170:
1161:
1149:
1148:
1145:
1144:
1142:
1141:
1140:
1139:
1134:
1129:
1118:
1116:
1112:
1111:
1109:
1108:
1107:
1106:
1101:
1091:
1086:
1081:
1075:
1073:
1067:
1066:
1064:
1063:
1058:
1053:
1047:
1045:
1039:
1038:
1036:
1035:
1030:
1025:
1019:
1017:
1008:
996:
995:
992:
991:
989:
988:
983:
978:
976:deltoid fascia
972:
970:
963:
962:
960:
959:
954:
953:
952:
947:
942:
937:
927:
921:
915:
909:
908:
899:
897:
896:
889:
882:
874:
866:
865:
816:
806:
783:
748:
697:
690:
672:
665:
640:
620:
577:
556:
549:
541:Last's Anatomy
525:
524:
522:
519:
518:
517:
514:
507:
505:
502:
495:
493:
474:
467:
465:
427:
420:
418:
415:
408:
404:
401:
388:
385:
368:
365:
356:
353:
351:
348:
330:
327:
322:deltoid muscle
318:glenoid cavity
313:
310:
297:
294:
281:
278:
261:
258:
249:
246:
244:
241:
195:
194:
185:
179:
178:
173:
167:
166:
161:
155:
154:
149:
143:
142:
137:
131:
130:
126:
125:
116:
110:
109:
104:
98:
97:
92:
86:
85:
75:
69:
68:
59:
53:
52:
48:
47:
44:
36:
35:
32:
24:
23:
15:
13:
10:
9:
6:
4:
3:
2:
1645:
1634:
1631:
1629:
1626:
1624:
1621:
1620:
1618:
1595:
1592:
1590:
1587:
1586:
1584:
1581:
1576:
1570:
1567:
1565:
1562:
1561:
1559:
1556:
1551:
1548:
1546:
1542:
1534:
1531:
1529:
1526:
1525:
1524:
1521:
1519:
1516:
1515:
1513:
1509:
1503:
1500:
1496:
1493:
1491:
1488:
1486:
1483:
1482:
1481:
1478:
1477:
1475:
1471:
1465:
1462:
1458:
1455:
1453:
1450:
1448:
1445:
1444:
1443:
1440:
1439:
1437:
1435:lateral volar
1433:
1430:
1428:
1424:
1414:
1411:
1409:
1406:
1405:
1403:
1399:
1393:
1390:
1386:
1383:
1381:
1378:
1377:
1376:
1373:
1371:
1368:
1367:
1365:
1363:
1359:
1349:
1346:
1342:
1339:
1337:
1334:
1332:
1329:
1328:
1327:
1324:
1322:
1319:
1318:
1316:
1313:
1308:
1302:
1299:
1297:
1294:
1292:
1289:
1285:
1281:
1278:
1276:
1273:
1272:
1271:
1268:
1267:
1265:
1262:
1257:
1254:
1252:
1248:
1238:
1235:
1233:
1230:
1228:
1225:
1224:
1222:
1219:
1214:
1208:
1205:
1203:
1200:
1198:
1195:
1193:
1190:
1188:
1185:
1184:
1182:
1179:
1174:
1171:
1169:
1165:
1162:
1159:
1154:
1150:
1138:
1135:
1133:
1130:
1128:
1125:
1124:
1123:
1120:
1119:
1117:
1113:
1105:
1102:
1100:
1097:
1096:
1095:
1092:
1090:
1087:
1085:
1082:
1080:
1077:
1076:
1074:
1072:
1068:
1062:
1059:
1057:
1054:
1052:
1049:
1048:
1046:
1044:
1040:
1034:
1031:
1029:
1026:
1024:
1021:
1020:
1018:
1016:
1012:
1009:
1006:
1001:
997:
987:
984:
982:
979:
977:
974:
973:
971:
968:
964:
958:
955:
951:
950:subscapularis
948:
946:
943:
941:
940:infraspinatus
938:
936:
935:supraspinatus
933:
932:
931:
928:
926:
923:
922:
919:
916:
914:
910:
906:
902:
895:
890:
888:
883:
881:
876:
875:
872:
861:
857:
852:
847:
843:
839:
835:
831:
827:
820:
817:
810:
807:
794:
787:
784:
779:
775:
771:
767:
763:
759:
758:Radiographics
752:
749:
744:
740:
735:
730:
725:
720:
716:
712:
708:
701:
698:
693:
691:9780702051319
687:
683:
676:
673:
668:
662:
658:
657:
649:
647:
645:
641:
637:
634:
630:
624:
621:
616:
612:
608:
604:
600:
596:
592:
588:
581:
578:
566:
560:
557:
552:
546:
542:
535:
533:
531:
527:
520:
511:
506:
499:
494:
490:
486:
482:
478:
471:
466:
462:
457:
452:
447:
442:
437:
431:
424:
419:
412:
407:
402:
400:
398:
394:
386:
384:
380:
376:
374:
366:
364:
362:
354:
349:
347:
345:
341:
337:
328:
326:
323:
319:
311:
309:
307:
303:
295:
293:
291:
287:
279:
277:
275:
271:
267:
259:
257:
255:
247:
242:
240:
238:
234:
230:
226:
222:
218:
214:
210:
202:
201:supraspinatus
190:
184:
180:
177:
174:
172:
168:
165:
162:
160:
156:
153:
150:
148:
144:
141:
138:
136:
132:
127:
124:
120:
117:
115:
111:
108:
105:
103:
99:
96:
93:
91:
87:
84:
80:
76:
74:
70:
67:
63:
60:
58:
54:
49:
42:
37:
30:
25:
20:
1628:Rotator cuff
1579:
1554:
1522:
1511:intermediate
1473:medial volar
1374:
1311:
1261:superficial:
1260:
1217:
1178:superficial:
1177:
1158:compartments
1121:
1093:
1005:compartments
934:
930:rotator cuff
833:
829:
819:
809:
797:. Retrieved
786:
761:
757:
751:
714:
710:
700:
681:
675:
655:
623:
593:(3): 221–5.
590:
586:
580:
568:. Retrieved
559:
540:
483:(center) of
450:
390:
381:
377:
370:
358:
332:
315:
299:
296:Nerve supply
283:
263:
251:
229:rotator cuff
209:supraspinati
208:
200:
198:
152:A04.6.02.006
139:
957:teres major
945:teres minor
799:19 December
570:16 December
129:Identifiers
1617:Categories
1555:posterior:
1523:interossei
1480:hypothenar
1270:mobile wad
1033:brachialis
633:2906077844
521:References
479:(top) and
340:ultrasound
1580:anterior:
1518:lumbrical
1321:supinator
1251:posterior
1043:posterior
397:abduction
387:Paralysis
355:Diagnosis
280:Relations
260:Insertion
243:Structure
119:Abduction
73:Insertion
1380:extensor
1168:anterior
1056:anconeus
1015:anterior
913:Shoulder
860:27826596
778:16284137
743:26716086
477:acromion
430:shoulder
393:clavicle
312:Function
290:acromion
1153:Forearm
1099:lateral
925:deltoid
903:of the
901:Muscles
851:5084521
734:4686437
615:1657973
607:8873337
491:(left).
489:humerus
485:scapula
403:Gallery
274:humerus
272:of the
268:of the
233:abducts
225:humerus
223:of the
217:scapula
123:humerus
114:Actions
83:humerus
66:scapula
51:Details
1545:fascia
1533:palmar
1528:dorsal
1442:thenar
1385:flexor
1362:fascia
1284:brevis
1122:spaces
1104:medial
1071:fascia
1028:biceps
967:fascia
858:
848:
776:
741:
731:
688:
663:
635:, see
631:
613:
605:
547:
487:, and
367:Repair
286:tendon
248:Origin
90:Artery
57:Origin
1401:other
1312:deep:
1218:deep:
1115:other
611:S2CID
266:facet
187:[
135:Latin
102:Nerve
1427:Hand
1282:and
856:PMID
801:2014
774:PMID
739:PMID
686:ISBN
661:ISBN
629:ISBN
603:PMID
572:2015
545:ISBN
434:3.
350:Tear
342:and
199:The
176:9629
164:2457
147:TA98
1000:Arm
905:arm
846:PMC
838:doi
766:doi
729:PMC
719:doi
595:doi
454:8.
449:7.
444:6.
439:5.
344:MRI
205:pl.
171:FMA
159:TA2
81:of
64:of
1619::
854:.
844:.
832:.
828:.
772:.
762:25
760:.
737:.
727:.
713:.
709:.
643:^
609:.
601:.
591:18
589:.
529:^
399:.
308:.
276:.
207::
1160:)
1156:(
1007:)
1003:(
969::
893:e
886:t
879:v
862:.
840::
834:4
803:.
780:.
768::
745:.
721::
715:6
694:.
669:.
617:.
597::
574:.
553:.
463:.
203:(
191:]
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
