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However, partial rotator-cuff tears may also demonstrate good pain relief, so a positive response cannot rule out a partial rotator-cuff tear. However, with demonstration of good, pain-free function, the treatment will not change, so the test is useful in helping to avoid overtesting or performing unnecessary surgery.
Massive irreparable rotator cuff tear without osteoarthritis has also been an accepted indication for a number of years, given numerous studies have reported good functional outcomes. Over the last 10 years the indications for RTSA have seen a huge expansion, including for patients with osteoarthritis and intact rotator cuff tendons. [ 11 ]
As reverse shoulder replacement has become more popular, the indications have expanded to include shoulder “pseudoparalysis” due to massive rotator cuff tears, shoulder fractures, severe bone loss on the scapula or humerus precluding the use of standard implants and failed prior shoulder replacement procedures. [6]
Because strengthening the serratus anterior improves shoulder stability, the exercise is recommended for people suffering from shoulder pain or bad posture [4] and is recommended in one treatment protocol as non-surgical treatment for a rotator cuff tear. [5]
The injury may vary from mild inflammation to involvement of most of the rotator cuff. When the rotator cuff tendon becomes inflamed and thickened, it may get trapped under the acromion. Squeezing of the rotator cuff is called impingement syndrome. [citation needed] An inflamed bursa is called bursitis. Tendinitis and impingement syndrome are ...
One study has indicated that arthroscopic surgery for full-thickness supraspinatus tears is effective for improving shoulder functionality. [9] A comparative effectiveness review of nonoperative and operative treatments for rotator cuff tears was performed at the University of Alberta Evidence-based Practice Center in 2010.
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