rotator cuff tear

Question 1

Q: What are the two main causes of rotator cuff tears?

Answer 1

A: Acute traumatic incidents and chronic degenerative pathology.

Question 2

Q: Which age group is particularly susceptible to chronic degenerative rotator cuff tears?

Answer 2

A: Patients 50 years of age and older.

Question 3

Types of Tears Q: What are the two classifications of rotator cuff tears?

Answer 3

Partial-thickness: Extends through only part of the tendon.
Full-thickness: A complete tear of the tendon.

Question 4

Types of Tears Q: How are rotator cuff tears classified by size?

Answer 4

Small: 1 cm or less.
Large: More than 5 cm.

Question 5

Etiology
Q: What are intrinsic factors that contribute to rotator cuff tears?

Answer 5

A: Impaired blood supply to the tendon, leading to degeneration.

Question 6

Etiology

Q: What are extrinsic factors that contribute to rotator cuff tears?

Answer 6

Trauma.
Repetitive microtrauma.
Postural abnormalities.

Question 7

Signs and Symptoms
Q: How is the arm typically positioned in a rotator cuff tear?

.

Answer 7

A: In internal rotation and adduction.

Question 8

Signs and Symptoms
Q: Where is tenderness commonly felt in a rotator cuff tear?

Answer 8

A: At the greater tubercle and the acromion.

Question 9

Signs and Symptoms
Q: What shoulder movements are markedly limited in rotator cuff tears?

Answer 9

A: Shoulder flexion and abduction

Question 10

Signs and Symptoms
Q: What compensatory action is evident during shoulder movement in a rotator cuff tear?

Answer 10

A: Recruitment of the upper trapezius

Question 11

Signs and Symptoms
Where does the tone increase in a rotator cuff tear?

Answer 11

anterior shoulder structures

Question 12

what are the signs and symptoms all?

Answer 12

arm positioned in internal rotation and adduction,
point tenderness at the greater tubercle and acromion,
marked limitation in shoulder flexion and abduction with upper trapezius recruitment evident,
increased tone in anterior shoulder

Question 13

Treatment: Conservative Management
Q: What are the components of conservative management for a rotator cuff tear?

Answer 13

RICE (Rest, Ice, Compression, Elevation).
NSAIDs for inflammation.
Analgesics for pain.

Question 14

Treatment: Conservative Management
Q: What is the primary focus of conservative physical therapy for a rotator cuff tear?

Answer 14

Prevent adhesive capsulitis.
Strengthen upper extremity musculature.

Question 15

Treatment: Surgical Management
Q: What are the three surgical approaches for rotator cuff tear repair?

Answer 15

Arthroscopic.
Mini-open with arthroscopic assistance.
Traditional open approach.

Question 16

Treatment: Surgical Management

Q: What is used to immobilize the shoulder after surgery?

Answer 16

A: A sling.

Question 17

Treatment: Surgical Management

Q: How long can immobilization last for large tears?

Answer 17

A: Four to six weeks.

Question 18

Post-Surgical Physical Therapy
Q: What is the first stage of physical therapy post-surgery?

Answer 18

A: Passive range of motion.

Question 19

Post-Surgical Physical Therapy
Q: When do active and isometric exercises begin post-surgery?

Answer 19

A: Once approved by the surgeon.

Question 20

Post-Surgical Physical Therapy

Q: How long does it typically take to return to dynamic overhead activities?

Answer 20

A: 9–12 months.