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Injury of the supraspinatus muscle tendon is extremely common, but why? And shoulder mere rotator cuff exercises (the ssp included) be considered as an adequate intervention? In my opinion, absolutely NOT! - Because there is almost always an underlying cause of the injury, and it must, of course, be dealt with. To avoid subacromial impingement (which most commonly leads to supraspinatus injuries as well as subacromial bursitis), the supraspinatus has to be able to function as an abductor, as it prevents superior humeral translation. However, the supraspinatus is UNABLE to function if the scapula depresses as abduction is performed. Thus, both scapular upwards rotation and adequate strength of the supraspinatus is paramount during humeral abduction.