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Is it possible to have a rotator cuff tear due to normal repeated loading of the shoulder joint?

DOCTOR OF THE MONTH - Jul 2013
Jul 2013
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Orthopaedic Surgeon, Joint Replacement
Practicing since : 1996
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Question
Is it possible for a tendon to tear in half in the rotator cuff from normal wear & tear & age--I'm 57.
Posted Wed, 20 Nov 2013 in Bones, Muscles and Joints
 
 
Answered by Dr. K. Naga Ravi Prasad 42 minutes later
Brief Answer:
Yes, its possible.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

It is possible to have a rotator cuff tear due to normal repeated loading (wear & tear) of the shoulder joint or in over use of the shoulder (as in certain occupations engaged in overhead activities) which is termed as DEGENERATIVE rotator cuff tear.

An MRI scan of the involved shoulder joint will confirm the diagnosis of the location and extent of the rotator cuff tear.

• If tear is a partial or small, a trial of conservative treatments is warranted;
conservative treatment includes Activity modification, NSAIDs (Analgesic medications like Advil or Aleve), use of subacromial corticosteroid injections, along with physical therapy to strengthen the rotator cuff and scapular stabilizer muscles.

• Surgical management will be considered for patients who fail to improve after 6-12 months of conservative management.

Hope I have addressed your query. Happy to help further

Regards

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