Rotator Cuff Tear
The rotator cuff is a group of four tendons that stabilize the shoulder. Tears range from partial fraying to complete rupture and can result from injury or chronic wear. Many people do well with conservative treatment.
Table of Contents
Quick Facts
- ICD-10: M75.1
- Common in: Adults over 40
Symptoms
- Shoulder pain, especially at night or with overhead activity
- Weakness when lifting or rotating the arm
- Crackling sensation with movement
- Reduced range of motion
Diagnosis
- Physical exam with specific shoulder tests
- X-rays to rule out other causes
- MRI or ultrasound for tendon imaging
Treatment
Conservative
- Rest, activity modification
- Ice and NSAIDs
- Physical therapy emphasizing rotator cuff strengthening
- Corticosteroid injections
Surgical
- Arthroscopic repair for full-thickness tears in active patients
- Open repair for large tears
- Reverse total shoulder arthroplasty for severe, irreparable tears with arthritis
When to See a Doctor
See a doctor for persistent shoulder pain or weakness, especially after an injury or with worsening function. Acute large tears benefit from earlier evaluation.
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.
References
- American Academy of Orthopaedic Surgeons. Rotator Cuff Tears.