Acute rotator cuff tears

A possible complication of acute shoulder trauma. Unlike chronic tears, an acute tear needs fairly urgent repair but is easily missed.

  • If a person cannot lift their arm past 90 deg following acute shoulder trauma, they need same-day X-ray and review.
  • If a person cannot lift their arm past 90 deg two weeks later, they need urgent referral for assessment by either ultrasound or MRI (MRI has greater sensitivity, but both are good).
  • Shoulder dislocations in the >40s should also be followed up for possible acute rotator cuff tear.

(BMJ 2017;359:j5366)

Advertisements

About Dr Sarah

I'm a GP with a husband and two young children.
This entry was posted in BMJ, Credits 2018, Orthopaedics, Tendons. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s