Rotator cuff tear - Revision history

Rossdonaldson1: /* Background */

2020-05-21T20:30:36Z

Background

← Older revision		Revision as of 20:30, 21 May 2020
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	==Background==		==Background==
			[[File:Shoulder_joint_back-en.png\|thumb\|Shoulder anatomy, anterior.]]
			[[File:Shoulder joint back 05r4v.png\|thumb\|Shoulder anatomy, posterior.]]
	*Majority of tears occur due to chronic impingement in patients >40yrs		*Majority of tears occur due to chronic impingement in patients >40yrs
	*Acute tears require significant trauma: [[shoulder dislocation]], FOOSH		*Acute tears require significant trauma: [[shoulder dislocation]], FOOSH

2019-10-18T17:10:49Z

@@ Line 18: / Line 18: @@
 **Disuse atrophy may be present in chronic tears
 **TTP lateral aspect of upper arm or in subacromial region
 ==Evaluation==
@@ Line 27: / Line 45: @@
 **Narrowing of acromiohumeral space (<7mm) is most specific sign
 **May see humeral head sclerosis, osteophytes on undersurface of acromion/clavicle
 ==Management==

2019-09-28T18:19:18Z

← Older revision		Revision as of 18:19, 28 September 2019
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	==Background==		==Background==
	*Majority of tears occur due to chronic impingement in patients >40yrs		*Majority of tears occur due to chronic impingement in patients >40yrs
	*Acute tears require significant trauma: shoulder dislocation, FOOSH		*Acute tears require significant trauma: [[shoulder dislocation]], FOOSH
	*Consider rotator cuff tear in patient with weakness for >3wk after acute shoulder dislocation		*Consider rotator cuff tear in patient with weakness for >3wk after acute shoulder dislocation
	*Supraspinatus is most commonly affected tendon		*Supraspinatus is most commonly affected tendon

2019-09-24T04:23:09Z

Management

← Older revision		Revision as of 04:23, 24 September 2019
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	==Management==		==Management==
	*Arm sling until acute symptoms subside		*Arm sling until acute symptoms subside
	*Analgesia		*[[Analgesia]]
	**NSAIDs, opioids, ice		**[[NSAIDs]], [[opioids]], ice
	*Exercises		*Exercises
	**Pendulum swings		**Pendulum swings

2019-05-10T01:50:13Z

References

2016-07-25T06:01:55Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 06:01, 25 July 2016
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	**TTP lateral aspect of upper arm or in subacromial region		**TTP lateral aspect of upper arm or in subacromial region

	==~~Diagnosis~~==		==Evaluation==
	*See [[Shoulder (Tests)]]		*See [[Shoulder (Tests)]]

2016-07-14T20:06:24Z

Text replacement - " w/ " to " with "

← Older revision		Revision as of 20:06, 14 July 2016
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	*Majority of tears occur due to chronic impingement in patients >40yrs		*Majority of tears occur due to chronic impingement in patients >40yrs
	*Acute tears require significant trauma: shoulder dislocation, FOOSH		*Acute tears require significant trauma: shoulder dislocation, FOOSH
	*Consider rotator cuff tear in patient w/ weakness for >3wk after acute shoulder dislocation		*Consider rotator cuff tear in patient with weakness for >3wk after acute shoulder dislocation
	*Supraspinatus is most commonly affected tendon		*Supraspinatus is most commonly affected tendon

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	*Exercises		*Exercises
	**Pendulum swings		**Pendulum swings
	***Patient bends slightly at waist w/ arm hanging freely in front of body		***Patient bends slightly at waist with arm hanging freely in front of body
	***Arms should be swung in gentle arcs of motion both clockwise and counter-clockwise		***Arms should be swung in gentle arcs of motion both clockwise and counter-clockwise
	***Swing to level of pain tolerance x 5-10min TID-QID		***Swing to level of pain tolerance x 5-10min TID-QID

2016-07-09T01:37:20Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 01:37, 9 July 2016
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	{{Shoulder DDX}}		{{Shoulder DDX}}

	==~~Treatment~~==		==Management==
	*Arm sling until acute symptoms subside		*Arm sling until acute symptoms subside
	*Analgesia		*Analgesia

2016-07-02T13:37:47Z

Text replacement - "Pt " to "Patient "

← Older revision		Revision as of 13:37, 2 July 2016
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	*Exercises		*Exercises
	**Pendulum swings		**Pendulum swings
	***Pt bends slightly at waist w/ arm hanging freely in front of body		***Patient bends slightly at waist w/ arm hanging freely in front of body
	***Arms should be swung in gentle arcs of motion both clockwise and counter-clockwise		***Arms should be swung in gentle arcs of motion both clockwise and counter-clockwise
	***Swing to level of pain tolerance x 5-10min TID-QID		***Swing to level of pain tolerance x 5-10min TID-QID

2016-07-02T08:18:07Z

Text replacement - " pt " to " patient "

← Older revision		Revision as of 08:18, 2 July 2016
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	*Majority of tears occur due to chronic impingement in patients >40yrs		*Majority of tears occur due to chronic impingement in patients >40yrs
	*Acute tears require significant trauma: shoulder dislocation, FOOSH		*Acute tears require significant trauma: shoulder dislocation, FOOSH
	*Consider rotator cuff tear in pt w/ weakness for >3wk after acute shoulder dislocation		*Consider rotator cuff tear in patient w/ weakness for >3wk after acute shoulder dislocation
	*Supraspinatus is most commonly affected tendon		*Supraspinatus is most commonly affected tendon