Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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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.

Overview

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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.

MCQs

High-yield practice questions

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Question 1

Which rotator cuff tendon is most commonly torn in rotator cuff injuries?

Question 2

What is the most common presentation of a rotator cuff tear?

Question 3

Which of the following tests is NOT typically used to assess rotator cuff integrity?

Question 4

What imaging modality is considered the investigation of choice for evaluating rotator cuff tears?

Question 5

What is the Goutallier classification used for in the context of rotator cuff tears?

Question 6

Which factor is NOT considered a risk factor for rotator cuff tears?

Question 7

What is the primary goal of rehabilitation following rotator cuff repair?

Question 8

In the context of rotator cuff tears, what does the term 'critical shoulder angle' refer to?

Question 9

What is the prognosis for a rotator cuff tear classified as Goutallier grade 4?

Question 10

Which of the following treatments is typically considered for massive irreparable rotator cuff tears?