Rotator Cuff Tear Flashcards Preview

724: Medical Lectures > Rotator Cuff Tear > Flashcards

Flashcards in Rotator Cuff Tear Deck (11)
1

Partial RC tears are one of the major reasons for what syndrome?

impingement

2

What is the most commonly torn RC tendon?

supraspinatus

3

What are the symptoms of RC tears?

- weakness or pain with overhead movement
- night pain

4

What 2 special tests are usually positive in patients with a RC tear?

- Neer Impingement Test
- Hawkins Impingement Test

5

What imaging modality is the best method for visualizing RC tears?

MRI

6

How do partial RC tears heal?

with scarring

7

How are partial RC tears treated?

With PT and scapular and RC muscle strengthening

8

__% of partial thickness tears progress to full thickness tears within 2 years.

40

9

What is considered a negative prognosis factor for successful RC surgical repair?

Fatty infiltration

10

Tear of which RC muscle should always undergo surgical repair? Why?

Subscapularis, because full-thickness tears usually lead to premature OA of the shoulder

11

What are the 4 conditions in which you should refer a RC patient for surgical repair?

- young and active patients with full thickness RC tears
- partial tears with greater than 50% involvement and with significant pain
- Older and sedentary patients with full-thickness RC tears who have not responded to nonoperative treatment
- Full thickness subscapularis tears