The Evaluation and Treatment of Rotator Cuff Pathology

Viviane Bishay, Robert A. Gallo

Research output: Contribution to journalReview articlepeer-review

36 Scopus citations

Abstract

Rotator cuff pathology accounts for most presentations of shoulder pain to primary care clinics. History and physical examination are important for excluding other causes of shoulder pain, while imaging assists in confirming the diagnosis and defining the severity of the abnormality. Treatment options include nonsteroidal anti-inflammatory agents, subacromial corticosteroid injections, and exercise therapy. Surgical intervention is generally reserved for those failing nonoperative measures and/or healthy, young, and middle-aged adults with full-thickness rotator cuff tears. No surgical technique has proved to be superior. Despite surgery, about 20% of patients experience retears, more likely occurring in those with larger tears.

Original languageEnglish (US)
Pages (from-to)889-910
Number of pages22
JournalPrimary Care - Clinics in Office Practice
Volume40
Issue number4
DOIs
StatePublished - Dec 1 2013

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)

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