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Trauma or overuse can cause the shoulders soft tissues (ligaments, tendons, muscles and cartilage) to stretch or tear. Then they can no longer provide the necessary support. A feeling of "looseness" may develop and the shoulder may "pop out" with some activities. Pain and weakness may interfere with daily activities such as work, sports, or sleep.

A shoulder separation can result from a blow to your shoulder or a fall. It also can result from a fall on your outstretched hand or arm. It is a common injury in contact sports such as football, rugby, hockey, or lacrosse. It may occur from falling onto a hard surface. during activities such as downhill skiing, volleyball, rock climbing, and soccer.

Shoulder arthroscopy is performed under sterile conditions following an injection of a local anesthetic into the joint and/or general anesthesia.


A rotator cuff injury is a strain or tear in the group of tendons and muscles that hold your shoulder joint together and help move your shoulder.  A rotator cuff injury may result from:

  • impingement from bone spurs
  • using your arm to break a fall
  • falling onto your arm
  • lifting a heavy object
  • normal wear and tear in an older person
  • use of your shoulder in sports with a repetitive overhead movement, such as swimming, baseball (mainly pitchers), football, and tennis, which gradually strains the tendon
  • manual labor such as painting, plastering, raking leaves, or housework



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C. Daniel Smith, DO
    William G. Humphreys, MD   Brett A. Miller, MD    Corey A. Trease, MD    Brian R. Duncan, MD
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