Shoulder Disorders
A 58-year-old right-hand dominant carpenter presents with 6 months of progressive right shoulder pain and weakness. He has difficulty with overhead activities and night pain. Examination shows weakness of external rotation and abduction with a positive Jobe test and lag signs. MRI reveals a full-thickness supraspinatus tear with 2cm retraction, mild fatty infiltration (Goutallier grade 2), and intact infraspinatus and subscapularis. Regarding rotator cuff tears:
Mark each as TRUE or FALSE
Rotator cuff tears increase with age (affecting greater than 50% of people over 80 years), can be de...
Clinical examination includes Jobe test (supraspinatus - empty can position), external rotation lag ...
The subscapularis is the most commonly torn rotator cuff tendon; fatty infiltration indicates excell...
Non-operative treatment (physiotherapy, NSAIDs, corticosteroid injections) is appropriate for partia...
Prognostic factors for repair include tear size and retraction, muscle quality (Goutallier grade - f...
Answer the questions to see explanations
Click T (True) or F (False) for each option