Rotator Cuff Injury

Question 1

What is the most common symptom of rotator cuff tears?

Answer 1

Shoulder pain

Question 2

What are the three causes of rotator cuff tears?

Answer 2

Acute traumatic event
Repetitive activity
Chronic degeneration

Question 3

Other than shoulder pain, what are the other symptoms of rotator cuff tears?

Answer 3

Functional weakness
Loss of motion
Night pain

Question 4

Which muscle is tested by the empty can test?

Answer 4

Supraspinatous

Question 5

Which muscle is tested by the external rotation test?

Answer 5

Infraspinatous

Question 6

Which muscle is tested by the lift off test?

Answer 6

Subscapularis

Question 7

Which muscle is tested by the belly press test?

Answer 7

Subscapularis

Question 8

What are the two tests which can be done to test for rotator cuff impingement?

Answer 8

Neer impingement test

Hawkins test

Question 9

Which modality of imaging is usually used to look for rotator cuff tears?

Answer 9

MRI

Question 10

What factors may influence whether a patient is treated surgically or non-surgically for a rotator cuff tear?

Answer 10

Size of tear
Patient age
Expected activity level
Degree if tendon retraction
Presence of rotator cuff muscle atrophy and fatty replacement

Question 11

What are the three surgical treatment options for rotator cuff tears?

Answer 11

Mini open repair
Open repair
Athroscopy

Question 12

What is the non surgical treatment of rotator cuff tears?

Answer 12

Stretching and NSAIDs

If after 4 weeks NSAIDs are ineffective then a subacromial corticosteroid injection can be used

Question 13

Younger patients with good functional status and high functional demand are more likely to be treated y surgical means for a rotator cuff tear. T/F?

Answer 13

True