Rotator Cuff Tear - Treatment

Treatment

Patients suspected of having a rotator cuff tear are divided into two treatment groups initially: Each patient is initially a candidate for either operative or non-operative treatment, however patients are re-evaluated throughout the course of treatment and may move from one group to the other based on their clinical response and findings on repeated examination.

Since many patients with partial tears and some even with complete tears can respond to non-operative management, generally conservative care is offered first. If a significant trauma such as a shoulder dislocation, or fracture, or high energy force is known to have been followed by complete to near complete loss of rotator cuff-mediated motion and strength, then an operative work-up is initiated with plans to proceed to surgery for repair, if confirmatory.

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