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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Rotator Cuff Tear

Shoulder Disorders

A 58-year-old right-hand dominant man presents with 6 months of progressive right shoulder pain and weakness with overhead activities. He has night pain and difficulty reaching behind his back. On examination, he has positive Jobe's (empty can) test, weakness with external rotation, and a positive drop arm test. MRI confirms a full-thickness supraspinatus tear with mild fatty infiltration. Regarding rotator cuff tears:

Mark each as TRUE or FALSE

A

The rotator cuff consists of supraspinatus (abduction, most commonly torn), infraspinatus (external ...

B

Clinical tests include Jobe's/empty can test (supraspinatus), external rotation lag sign (infraspina...

C

Subscapularis is the most commonly torn cuff muscle; the critical zone is at the musculotendinous ju...

D

MRI assesses tear size, retraction, muscle quality (fatty infiltration), and tendon quality; Goutall...

E

Treatment includes non-operative management (physiotherapy, injections) for low-demand patients and ...

Answer the questions to see explanations

Click T (True) or F (False) for each option