Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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Rotator Cuff Tears — Repair Principles

Common in elderly and overhead athletes; supraspinatus most often torn. Clinical: pain, weakness in abduction/external rotation, night pain. Tests: Jobe’s, drop arm, external rotation lag sign. Imaging: MRI gold standard; USG useful. Management: physiotherapy for partial tears; repair (arthroscopic/open) for symptomatic full-thickness.

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Common in elderly and overhead athletes; supraspinatus most often torn. Clinical: pain, weakness in abduction/external rotation, night pain. Tests: Jobe’s, drop arm, external rotation lag sign. Imaging: MRI gold standard; USG useful. Management: physiotherapy for partial tears; repair (arthroscopic/open) for symptomatic full-thickness.
MCQs

High-yield practice questions

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Question 1

Which of the following rotator cuff muscles is most commonly torn in rotator cuff injuries?

Question 2

What is the primary imaging modality used to diagnose rotator cuff tears?

Question 3

Which clinical test is most specific for detecting a supraspinatus tear?

Question 4

In the context of rotator cuff tears, what does Goutallier classification assess?

Question 5

Which type of rotator cuff tear is characterized by a complete disruption of the tendon?

Question 6

What is the first line of treatment for a partial thickness rotator cuff tear?

Question 7

What is the most common mechanism of injury for rotator cuff tears in the elderly?

Question 8

Which of the following statements is true regarding the critical zone of the supraspinatus?

Question 9

What percentage of untreated full-thickness rotator cuff tears is likely to increase in size over 2–3 years?

Question 10

In a full-thickness rotator cuff tear, which tendon is most commonly involved?