rotator cuff tears Flashcards

1
Q

when can the tendons of the rotator cuff tear

A

with minimal or no trauma as a consequence of degeneration

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2
Q

classic history

A

sudden jerk in patient over 40 years old resulting in subsequent pain and weakness

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3
Q

how many people have asymptomatic rotator cuff tears

A

at least 20% of over 60 year olds

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4
Q

who are rotator cuff tears extremely uncommon in

A

young people

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5
Q

what can the tears be

A

partial or full thickness and usually involve the supraspinatus

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6
Q

larger tears

A

can extend into the subscapularis and infrapinatus

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7
Q

presentation

A

pain and weakness on initiation of abduction (supraspinatus) and internal rotation (subscapularis) and external rotation (infraspinatus)

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8
Q

investigation for rotator cuff tears

A

MRI

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9
Q

management of rotator cuff tears

A

physiotherapy to strengthen up the remaining rotator cuff muscles as the can usually compensate for loss of supraspinatus muscle

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10
Q

surgery for rotator cuff tears

A

is controversial as one third inevitably fail but may be used if there is need to maintain strength or to prevent subsequent osteoarthritis

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