Rotator Cuff Injury Questions & Answers

Updated: Oct 25, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Craig C Young, MD  more...
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Questions & Answers

Overview

What are rotator cuff injuries?

How common are rotator cuff injuries in the US?

What is the functional anatomy of normal shoulder motion in relation to rotator cuff injuries?

What is the functional anatomy of shoulder stabilizers in rotator cuff injuries?

What is the functional anatomy of static stabilizers of the shoulder in rotator cuff injuries?

What is the functional anatomy of dynamic stabilizers of the shoulder in rotator cuff injuries?

What is the functional anatomy of the shoulder muscles in rotator cuff injuries?

What are the biomechanical stages of throwing a baseball that can lead to rotator cuff injuries?

Presentation

Why is a detailed history important in the diagnosis of rotator cuff injuries?

What information should be obtained in the patient history in rotator cuff injuries?

How is a drop-arm test performed in the evaluation of rotator cuff injuries?

How is a physical exam performed in suspected rotator cuff injuries?

How is range of motion (ROM) evaluated during the physical exam in rotator cuff injuries?

How is strength testing performed in the physical exam of rotator cuff injuries?

How is the Neer impingement test performed in the evaluation of rotator cuff injuries?

How is the Hawkins-Kennedy impingement test performed in the evaluation of rotator cuff injuries?

What is the apprehension test for the evaluation of rotator cuff injuries and how is it performed?

How is a relocation test performed in the evaluation of rotator cuff injuries?

What causes rotator cuff injuries?

How does age-related degeneration contribute to rotator cuff injuries?

How does a compromised microvascular supply contribute to rotator cuff injuries?

How does outlet impingement contribute to rotator cuff injuries?

What are types of acromions that contribute to rotator cuff injuries?

What is the role of the coracohumeral ligament in rotator cuff injuries?

What is the role of shoulder instability in rotator cuff injuries?

DDX

What are the differential diagnoses for Rotator Cuff Injury?

Workup

What is the role of plain radiography in the workup of rotator cuff injuries?

What is the role of MRI in the workup of rotator cuff injuries?

What is the role of ultrasonography in the evaluation of rotator cuff injuries?

What is the role of electrodiagnostic testing in the evaluation of rotator cuff injuries?

Treatment

How are physical therapy and pain management used in the acute phase of rotator cuff treatment?

How are corticosteroids and procedures used in the acute phase of rotator cuff treatment?

What is the role of physical therapy in the recovery phase of rotator cuff treatment?

How is shoulder range of motion (ROM) restored in the recovery phase of rotator cuff treatment?

How are strengthening exercises used in the recovery phase of rotator cuff treatment?

What is the role of proprioceptive training in the recovery phase of rotator cuff treatment?

When is surgical intervention indicated for the treatment of rotator cuff injuries?

What is the role of physical therapy in the maintenance phase of rotator cuff treatment?

Medications

What is the role of NSAIDs in the treatment of rotator cuff injuries?

Which medications in the drug class Nonsteroidal Anti-inflammatory Drugs (NSAIDs) are used in the treatment of Rotator Cuff Injury?

Follow-up

What are the criteria for return to play in rotator cuff injuries?

What are the complications of rotator cuff injuries when treatment is delayed?

How is the recurrence of rotator cuff injuries prevented?

What is the prognosis of rotator cuff injuries?

What patient education is indicated in the treatment of rotator cuff injuries?