Student’s name: ………………………………………………………

No.: Upper Limb – 01

Instructions:
 Read the following carefully and try to understand every word.
 You are free to go to the library to find out the possible answers for the questions.

Mansor is feeling pain in shoulder

Mansor is 52 years old carpenter, presented to the local clinic with right shoulder
pain, he mentioned that the pain happened suddenly while he was lifting some woods to use
in his work, he described the pain in the upper and front parts of his shoulder, the pain rises
when he washes his head during a shower.
On examination the doctor noticed that there is some weakness in the initial part of
abduction and external rotation, this weakness is associated with pain.
The doctor requested radiological examination, and he made the diagnosis: rotator
cuff tears.
Questions:
1. What are the muscles that known as rotator cuff?
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2. What is the origin and insertion of each muscle?

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3. What is the nerve that supplies each one of them?

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4. Why did the patient feel pain during over-head activities?
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5. What kind of radiological investigation did the doctor request?
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References:
 Harold Ellis, Clinical Anatomy,Applied anatomy for students and junior doctors, 11 th
Ed, Blackwell Publishing Ltd, 2006
 Richard S.Snell, Clinical Anatomy by Regions, 8th Ed. Lippincott Williams &
Wilkins.
 Moore, Keith L.; Dalley, Arthur F, Clinically Oriented Anatomy, 5 th Ed. Lippincott
Williams & Wilkins; 2006.

Hosam Eldeen Elsadig MBBS, M.Sc