Orthonotes
Orthonotes
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v4.1 Fusion X
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Rotator Cuff Tears — Overview

Supraspinatus most commonly torn; tears progress from partial to full‑thickness and can propagate posteriorly/anteriorly. Painful arc, night pain, and weakness on specific tests (Jobe, ER lag, belly‑press) are classic. MRI is investigation of choice; assess fatty infiltration (Goutallier) and tendon retraction (Patte). Treatment spectrum: physiotherapy/injections → arthroscopic repair (single/double row) → tendon transfer/SCR → reverse shoulder arthroplasty for cuff arthropathy. Rehabilitation protocol determines outcome as much as repair integrity.

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Supraspinatus most commonly torn; tears progress from partial to full‑thickness and can propagate posteriorly/anteriorly. Painful arc, night pain, and weakness on specific tests (Jobe, ER lag, belly‑press) are classic. MRI is investigation of choice; assess fatty infiltration (Goutallier) and tendon retraction (Patte). Treatment spectrum: physiotherapy/injections → arthroscopic repair (single/double row) → tendon transfer/SCR → reverse shoulder arthroplasty for cuff arthropathy. Rehabilitation protocol determines outcome as much as repair integrity.

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