Rotator Cuff Tear: Difference between revisions
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==See Also== | ==See Also== | ||
*[[Shoulder (Acute - Trauma) | *[[Shoulder (Acute - Trauma)]] | ||
Revision as of 04:14, 27 October 2011
Background
- Injury: 90% chronic arms overhead
Diagnosis
- result of extreme overuse in young adults (e.g. pitchers) or minor trauma in older adults
- sudden "pop" while lifting overhead
- lateral pain
- worse at night
- abduct arm pain after 20deg
- relief of pain w/ lido inject
- (pain free weakness = full tear)
Physical
- loss of active BUT NOT passive ROM (due to pain)
- positive impingement signs
- weakness with drop arm test
Treatment
- Acute --> sling, PT, ortho f/u
- Chronic --> PT, ortho
- Next: MRI, surgery for younger pts with big tear, rehab
- PT: arm dangle at side, circle 5-10wt