The Shoulder

Deep Transverse Frictions

Indications: mechanical lesions ( trauma or over-use of connective fibrous tissue - muscular, tendinous and ligamentous structures).

(General remarks on indications for deep transverse friction)

Friction can be given to:

• Supraspinatus tendinitis at the musculo-tendinous junction
• Infraspinatus tendinitis at the musculo-tendinous junction
• Supraspinatus tendinitis at the teno-periosteal junction
• Infraspinatus tendinitis at the teno-periosteal junction
• Subscapularis tendinitis
• Biceps tendinitis in the sulcus
• Sprain of the superficial AC ligaments.

There is no alternative for friction in .

• Supraspinatus tendinitis at the musculo-tendinous junction
• Infraspinatus tendinitis at the musculo-tendinous junction
• Bicepstendinitis at the sulcus.

Deep friction is the treatment of choice in:

• Tendinitis in sportsmen
• Recurrences after previous infiltrations with triamcinolone.
• Partial tendinous ruptures

Infiltrations with triamcinolone is the treatment of choice in:

• Gross inflammation (nocturnal pain)
• Calcifications in the tendon
• Subscapularis tendinitis (deep friction is often too painful)

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