Word: cuffe
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...hard to find a comfortable place for your arms when you're in bed at night, you're probably feeling Don's pain. Cuff discomfort is usually a "night pain" in its early phases. Ball throwing and racquet sports become uncomfortable but you can still manage to play - it's the pain later on, especially at night, that first brings the patients in. Overhead activities like putting up books or stacking dishes on a high shelf give the same hard-to-pinpoint shoulder and upper-arm pain. Cuff patients start avoiding movements that make them exert force at a distance...
...What the heck is a rotator cuff anyway and why is it always tearing...
...have what Donald Rumsfeld has? A lot of folks do. Tearing and what's called "maceration" of the rotator cuff are the most common causes of chronic shoulder pain in adult Americans. I find them and other shoulder problems fascinating; this strangely tendon-wrapped joint has kept my professional interest level amazingly high for the 22 years that I've been doing orthopedics. So when, in the middle of doing an arthroscopic rotator cuff repair this morning, my trusty assistant Dave told me about Don Rumsfeld's repair, I knew I had to get the plain truth...
...other words, it would be always dislocated were it not for the soft tissues that surround it. Your shoulder moves more widely and in more different ways than any other joint in the body, yet it's very strong. The design feature that enables these feats is the cuff - three flat tendons that blend together like a thick leathery hood covering a bald man's head - the head in this case being the smooth cartilage-covered ball at the top of the humerus or arm bone. The cuff's unique tendons apply muscular forces which stabilize and greatly strengthen...
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