Footprint of the rotator cuff
Citation, DOI, disclosures and article data
At the time the article was created Joachim Feger had no recorded disclosures.View Joachim Feger's current disclosures
At the time the article was last revised Joachim Feger had no recorded disclosures.View Joachim Feger's current disclosures
The rotator cuff footprint involves the convergence of the four rotator cuff tendons, which form a multi-layered, flat structure with the shape of a horseshoe, when viewed in the glenoidal (parasagittal) plane, consisting of the separate tendon insertions 1, which for themselves show a wide range of lengths and widths 1.
- supraspinatus insertion with a triangular shape at the anteromedial aspect of the superior facet of the greater tubercle 2
- infraspinatus insertion with a trapezoid shape at the posterior aspect of the superior facet and the middle facet of the greater tubercle extending anterolaterally 2
- teres minor insertion at the inferior facet of the greater tubercle
- subscapularis insertion anteriorly and proximally on the lesser tubercle
There is a significant overlapping zone of muscle/tendon units with interweaving fibers, especially between the posterior supraspinatus and anterior infraspinatus tendons 6.
- 1. Curtis A, Burbank K, Tierney J, Scheller A, Curran A. The Insertional Footprint of the Rotator Cuff: An Anatomic Study. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2006;22(6):603-609.e1. doi:10.1016/j.arthro.2006.04.001 - Pubmed
- 2. Mochizuki T, Sugaya H, Uomizu M et al. Humeral Insertion of the Supraspinatus and Infraspinatus. New Anatomical Findings Regarding the Footprint of the Rotator Cuff. J Bone Joint Surg Am. 2008;90(5):962-9. doi:10.2106/JBJS.G.00427 - Pubmed
- 3. Schaeffeler C, Mueller D, Kirchhoff C, Wolf P, Rummeny E, Woertler K. Tears at the Rotator Cuff Footprint: Prevalence and Imaging Characteristics in 305 MR Arthrograms of the Shoulder. Eur Radiol. 2011;21(7):1477-84. doi:10.1007/s00330-011-2066-x - Pubmed
- 4. Papakonstantinou M, Pan W, le Roux C, Richardson M. Arterial Supply of the Tendinous Rotator Cuff Insertions: An Anatomical Study. ANZ J Surg. 2012;82(12):928-34. doi:10.1111/j.1445-2197.2012.06250.x - Pubmed
- 5. Burkhart S, Esch J, Jolson R. The Rotator Crescent and Rotator Cable: An Anatomic Description of the Shoulder's “suspension Bridge”. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 1993;9(6):611-6. doi:10.1016/s0749-8063(05)80496-7
- 6. Clark J & Harryman D. Tendons, Ligaments, and Capsule of the Rotator Cuff. Gross and Microscopic Anatomy. J Bone Joint Surg Am. 1992;74(5):713-25. - Pubmed