The Rotator Cuff

You may have heard of the rotator cuff muscles, but what do they actually do? Here I explain the vital role they play.
The design of the glenohumeral joint makes it highly mobile. However, the trade-off for this mobility is stability, particularly from bone.  For this reason, the joint depends significantly on its stability from muscles, and in particular, the rotator cuff.

There are four rotator cuff muscles: the supraspinatus, infraspinatus teres minor, and subscapularis. The pneumonic SITS can help you remember the names of these.

They attach from the scapula to the humerus, and therefore can all act to move the shoulder in different directions. So supraspinatus is involved in shoulder ABduction. Infraspinatus and teres minor both externally rotate the shoulder, and subscapularis internally rotates it. 
This video taken from the Shoulder Course illustrates much of what I just explained.

While the rotator cuff can all move the glenohumeral joint, its primary role is stabilising.

Together these muscles actively draw and compress the head of the humerus into the glenoid cavity. You can see from this image how the forces they each create help do this. This stabilising role is essential to appreciate if you want to understand how the joint works. 

The rotator cuff actively draw the head of the humerus into the glenoid cavity

The cuff muscles work as a team. The activity of one has to be supported by the others.  Let's add an important point here.  Muscles can destabilise a joint - any joint - not just the shoulder.  When they contract to create movment, the force they generate can cause the joint to misalign or even dislocate in extreme circumstances.  To prevent this, the contraction of other muscles is required to resist this negative force and maintain balance around the joint.  All of this is carefully orchestrated via the nervous system relaying information back and forth to the brain.

So, for example, during arm ABduction, supraspinatus will be more active as it creates that movement. However, subscapularis, infraspinatus and teres minor are still contracting to maintain joint stability. Without this contraction, supraspinatus would cause the humerus to slip up towards the acromion process.  This would compress the supraspinatus tendon between the humerus and the acromion process. A soft tissue compressed between hard bones leads to injury, inflammation and potentially rotator cuff tears.

There are lots of reasons why the rotator cuff become imbalanced in their activity and become injured.  These include falls, scapula winging, and poor control of movement, such as incorrectly performed chaturanga.

To fix any problem, you must understand the cause.

Remove the cause, and you have the best chance to improve things.  However, without a thorough understanding of the body and how it works, this isn't easy to do.  That's the reason why I developed the Shoulder Course for teachers of yoga.  In this course, I outline shoulder anatomy, how the shoulder works, all its most common disorders and how to manage them through therapeutic movement.

  • £199 or 3 monthly payments of £67

The Shoulder

  • 57 Lessons

Learn the shoulder and how to work with injuries, including rotator cuff & labral tears, instability & much, much more. 

Do you have a shoulder issue?

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