Rotator Cuff Injury Management in the ED Differential Diagnoses

1. Yoon SH, Lee D, Li H, Kweon H, Ahn JH. Discrimination between pain and contracture in limited passive motion patients with rotator cuff tear: A STROBE-compliant cross-sectional study. Medicine (Baltimore). 2020 Jul 31. 99 (31):e21391. [QxMD MEDLINE Link].

2. Dalton SE. The conservative management of rotator cuff disorders. Br J Rheumatol. 1994 Jul. 33(7):663-7. [QxMD MEDLINE Link].

3. Dang A, Davies M. Rotator Cuff Disease: Treatment Options and Considerations. Sports Med Arthrosc Rev. 2018 Sep. 26 (3):129-133. [QxMD MEDLINE Link].

4. Moosmayer S, Smith HJ, Tariq R, Larmo A. Prevalence and characteristics of asymptomatic tears of the rotator cuff: an ultrasonographic and clinical study. J Bone Joint Surg Br. Feb 2009. 91(2):196-200. [QxMD MEDLINE Link].

5. Yuen CK, Mok KL, Kan PG. The validity of 9 physical tests for full-thickness rotator cuff tears after primary anterior shoulder dislocation in ED patients. Am J Emerg Med. 2012 Oct. 30 (8):1522-9. [QxMD MEDLINE Link].

6. Mathiasen R, Hogrefe C. Evaluation and Management of Rotator Cuff Tears: a Primary Care Perspective. Curr Rev Musculoskelet Med. 2018 Mar. 11 (1):72-76. [QxMD MEDLINE Link].

7. Brockmeyer M, Schmitt C, Haupert A, Kohn D, Lorbach O. Limited diagnostic accuracy of magnetic resonance imaging and clinical tests for detecting partial-thickness tears of the rotator cuff. Arch Orthop Trauma Surg. 2017 Dec. 137 (12):1719-1724. [QxMD MEDLINE Link].

8. Lenza M, Buchbinder R, Takwoingi Y, et al. Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered. Cochrane Database Syst Rev. 2013 Sep 24. CD009020. [QxMD MEDLINE Link].

9. Kim YS, Kim SE, Bae SH, et al. Tear progression of symptomatic full-thickness and partial-thickness rotator cuff tears as measured by repeated MRI. Knee Surg Sports Traumatol Arthrosc. 2017 Jul. 25 (7):2073-2080. [QxMD MEDLINE Link].

10. Lee SH, Yun SJ, Jin W, et al. Comparison between 3D isotropic and 2D conventional MR arthrography for diagnosing rotator cuff tear and labral lesions: A meta-analysis. J Magn Reson Imaging. 2018 Oct. 48 (4):1034-1045. [QxMD MEDLINE Link].

11. Sharma G, Bhandary S, Khandige G, Kabra U. MR Imaging of Rotator Cuff Tears: Correlation with Arthroscopy. J Clin Diagn Res. 2017 May. 11 (5):TC24-TC27. [QxMD MEDLINE Link].

12. Millstein ES, Snyder SJ. Arthroscopic evaluation and management of rotator cuff tears. Orthop Clin North Am. 2003 Oct. 34(4):507-20. [QxMD MEDLINE Link].

13. Saragaglia D, Barthomeuf C, Banihachemi JJ. Deciphering acute shoulder trauma with normal initial X-ray: Contributions of ultrasonography and MRI. Orthop Traumatol Surg Res. 2021 May 24. 102965. [QxMD MEDLINE Link].

14. Ong CK, Seymour RA, Lirk P, Merry AF. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain. Anesth Analg. 2010 Apr. 110(4):1170-9. [QxMD MEDLINE Link].

15. Yaari L, Dolev A, Haviv B. [PLATELET RICH PLASMA INJECTION AS TREATMENT FOR ROTATOR CUFF TENDINOPATHY AND AS AN AUGMENTATION FOR ROTATOR CUFF REPAIR]. Harefuah. 2019 Jun. 158 (6):395-397. [QxMD MEDLINE Link].

16. Douglas D. Synthetic Patch Associated With Better Outcomes Than Collagen in Rotator Cuff Repair. Medscape. Apr 3 2014. [Full Text].

17. Ciampi P, Scotti C, Nonis A, et al. The benefit of synthetic versus biological patch augmentation in the repair of posterosuperior massive rotator cuff tears: a 3-year follow-up study. Am J Sports Med. 2014 Mar 14. [QxMD MEDLINE Link].

18. Ecklund KJ, Lee TQ, Tibone J, Gupta R. Rotator cuff tear arthropathy. J Am Acad Orthop Surg. 2007 Jun. 15(6):340-9. [QxMD MEDLINE Link].

19. Fongemie AE, Buss DD, Rolnick SJ. Management of shoulder impingement syndrome and rotator cuff tears. Am Fam Physician. 1998 Feb 15. 57(4):667-74, 680-2. [QxMD MEDLINE Link].

20. Hayes K, Ginn KA, Walton JR, Szomor ZL, Murrell GA. A randomised clinical trial evaluating the efficacy of physiotherapy after rotator cuff repair. Aust J Physiother. 2004. 50(2):77-83. [QxMD MEDLINE Link].

21. Longo UG, Candela V, Berton A, Salvatore G, Guarnieri A, DeAngelis J, et al. Genetic basis of rotator cuff injury: a systematic review. BMC Med Genet. 2019 Sep 2. 20 (1):149. [QxMD MEDLINE Link]. [Full Text].

22. Wessel J, Razmjou H, Mewa Y, Holtby R. The factor validity of the Western Ontario Rotator Cuff Index. BMC Musculoskelet Disord. 2005 May 4. 6:22. [QxMD MEDLINE Link]. [Full Text].

23. Kim KC, Shin HD, Lee WY. Repair integrity and functional outcomes after arthroscopic suture-bridge rotator cuff repair. J Bone Joint Surg Am. 2012 Apr 18. 94(8):e481-6. [QxMD MEDLINE Link].

24. Navarro RA, Lin CC, Foroohar A, et al. Unplanned emergency department or urgent care visits after outpatient rotator cuff repair: potential for avoidance. J Shoulder Elbow Surg. 2018 Jun. 27 (6):993-997. [QxMD MEDLINE Link].

25. Valkering KP, Stokman RD, Bijlsma TS, Brohet RM, van Noort A. Prevalence of symptomatic rotator cuff ruptures after shoulder trauma: a prospective cohort study. Eur J Emerg Med. 2014 Oct. 21 (5):349-53. [QxMD MEDLINE Link].

26. SooHoo NF, Rosen P. Diagnosis and treatment of rotator cuff tears in the emergency department. J Emerg Med. 1996 May-Jun. 14(3):309-17. [QxMD MEDLINE Link].

27. Fuchs S, Chylarecki C, Langenbrinck A. Incidence and symptoms of clinically manifest rotator cuff lesions. Int J Sports Med. 1999 Apr. 20(3):201-5. [QxMD MEDLINE Link].

28. Miniaci A, Salonen D. Rotator cuff evaluation: imaging and diagnosis. Orthop Clin North Am. 1997 Jan. 28(1):43-58. [QxMD MEDLINE Link].

29. Hashefi M. Ultrasound in the diagnosis of noninflammatory musculoskeletal conditions. Ann N Y Acad Sci. Feb 2009. 1154:171-203. [QxMD MEDLINE Link].

30. McGarvey C, Harb Z, Smith C, Houghton R, Corbett S, Ajuied A. Diagnosis of rotator cuff tears using 3-Tesla MRI versus 3-Tesla MRA: a systematic review and meta-analysis. Skeletal Radiol. 2016 Feb. 45 (2):251-61. [QxMD MEDLINE Link].

31. Roy JS, Braën C, Leblond J, Desmeules F, Dionne CE, MacDermid JC, et al. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis. Br J Sports Med. 2015 Oct. 49 (20):1316-28. [QxMD MEDLINE Link].

32. Ranebo MC, Björnsson Hallgren HC, Holmgren T, Adolfsson LE. Surgery and physiotherapy were both successful in the treatment of small, acute, traumatic rotator cuff tears: a prospective randomized trial. J Shoulder Elbow Surg. 2020 Mar. 29 (3):459-470. [QxMD MEDLINE Link].

33. Hanusch BC, Goodchild L, Finn P, Rangan A. Large and massive tears of the rotator cuff: functional outcome and integrity of the repair after a mini-open procedure. J Bone Joint Surg Br. Feb 2009. 91(2):201-205. [QxMD MEDLINE Link].

34. Zumstein MS, Jost B, Hempel J, Hodler J, Gerber C. The clinical and structural long-term results of open repair of massive tears of rotator cuff. J Bone Joint Surg Am. Nov 2008. 90(11):2423-31.

35. Morse K, Davis AD, AFra R, Kaye EK, Schepsis A, Voloshin I. Arthroscopic versus mini-open rotator cuff repair: a comprehensive review and meta-analysis. Am J Sports Med. Sept 2008. 26(9):1824-1828. [QxMD MEDLINE Link].

36. Tonino PM, Gerber C, Itoi E, Porcellini G, Sonnabend D, Walch G. Complex shoulder disorders: evaluation and treatment. J Am Acad Orthop Surg. 2009 Mar. 17(3):125-36. [QxMD MEDLINE Link].

37. Rudzki JR, Shaffer B. New approaches to diagnosis and arthroscopic management of partial-thickness cuff tears. Clin Sports Med. 2008 Oct. 27(4):691-717. [QxMD MEDLINE Link].

38. Barr KP. Rotator cuff disease. Phys Med Rehabil Clin N Am. 2004 May. 15(2):475-91. [QxMD MEDLINE Link].

39. Kweon C, Gagnier JJ, Robbins CB, Bedi A, Carpenter JE, Miller BS. Surgical Versus Nonsurgical Management of Rotator Cuff Tears: Predictors of Treatment Allocation. Am J Sports Med. 2015 Oct. 43 (10):2368-72. [QxMD MEDLINE Link].

40. Lazarides AL, Alentorn-Geli E, Choi JH, Stuart JJ, Lo IK, Garrigues GE, et al. Rotator cuff tears in young patients: a different disease than rotator cuff tears in elderly patients. J Shoulder Elbow Surg. 2015 Nov. 24 (11):1834-43. [QxMD MEDLINE Link].

41. Abate M, Schiavone C, Di Carlo L, Salini V. Prevalence of and risk factors for asymptomatic rotator cuff tears in postmenopausal women. Menopause. 2013 Jun 10. [Epub ahead of print]. [QxMD MEDLINE Link].

42. Brooks M. Silent rotator cuff tears common in older women. Reuters Health Information. July 5, 2013. Available at http://www.medscape.com/viewarticle/807405. Accessed: July 22, 2013.

43. Quillen DM, Wuchner M, Hatch RL. Acute shoulder injuries. Am Fam Physician. 2004 Nov 15. 70(10):1947-54. [QxMD MEDLINE Link].

44. Rokito AS, Cuomo F, Gallagher MA, Zuckerman JD. Long-term functional outcome of repair of large and massive chronic tears of the rotator cuff. J Bone Joint Surg Am. 1999 Jul. 81(7):991-7. [QxMD MEDLINE Link].

45. Soslowsky LJ, Carpenter JE, Bucchieri JS, Flatow FL. Biomechanics of the rotator cuff. Orthop Clin North Am. 1997 Jan. 28(1):17-30. [QxMD MEDLINE Link].

Eileen C Quintana, MD Assistant Professor, Departments of Pediatrics and Emergency Medicine, St Christopher's Hospital for Children; Adjunct Clinical Professor, Departments of Pediatrics and Emergency Medicine, Temple University Hospital

Eileen C Quintana, MD is a member of the following medical societies: American College of Emergency Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Richard H Sinert, DO Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, Research Director, State University of New York College of Medicine; Consulting Staff, Vice-Chair in Charge of Research, Department of Emergency Medicine, Kings County Hospital Center

Richard H Sinert, DO is a member of the following medical societies: American College of Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

David B Levy, DO, FAAEM Senior Consultant in Emergency Medicine, Waikato District Health Board, New Zealand; Associate Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine

David B Levy, DO, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, Fellowship of the Australasian College for Emergency Medicine, American Medical Informatics Association, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Trevor John Mills, MD, MPH Chief of Emergency Medicine, Veterans Affairs Northern California Health Care System; Professor of Emergency Medicine, Department of Emergency Medicine, University of California, Davis, School of Medicine

Trevor John Mills, MD, MPH is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians

Disclosure: Nothing to disclose.

• Print this section
• Print the entire contents of
• Print the entire contents of article