Shoulder Pathology
A 58-year-old right-hand dominant man presents with 9 months of progressive right shoulder pain and weakness. He has difficulty raising his arm overhead and significant night pain. Examination reveals weakness of external rotation and positive Jobe and external rotation lag signs. MRI shows a full-thickness supraspinatus tear with 3cm retraction and Goutallier grade 2 fatty infiltration of the supraspinatus muscle. Regarding rotator cuff tears:
Mark each as TRUE or FALSE
Rotator cuff tears are classified by depth (partial vs full-thickness), size (small less than 1cm, m...
The Goutallier classification describes fatty infiltration of rotator cuff muscles on CT/MRI: Grade ...
Subscapularis tears are most common; fatty infiltration is fully reversible after repair; Goutallier...
Clinical examination includes specific tests: Jobe/empty can (supraspinatus), Hornblower sign (teres...
Treatment decisions consider tear size, chronicity, patient age and demands, muscle quality (fatty i...
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Click T (True) or F (False) for each option