Rotator Cuff Injury
Rotator Cuff Impingement
Pt presents with shoulder pain worse with overhead activity. Exam reveals subacromial tenderness, restricted ROM, pain with abduction/external rotation. Positive Neer, Hawkins test.
Obtain shoulder x-ray; consider MRI
Start Tylenol/NSAIDs for pain and refer to PT; refer to orthopedics if no improvement in 6-12 weeks
Consider corticosteroid injection for temporary relief
Severe pain and significant weakness on exam: Refer to orthopedics
Pt advised to avoid overhead activity
Rotator Cuff Tear
Pt age > 40 y/o with h/o shoulder trauma presents with diffuse shoulder pain. Pain present at night and worse with overhead activity. Exam reveals muscle atrophy and pain with empty can test, Neer test, and Hawkins-Kennedy tests. Weakness noted with external rotation, internal rotation, and Gerber lift-off test.
Diagnosis per physical exam
Positive empty can, Hawkins-Kennedy test: Supraspinatus injury
Positive Neer test: Subacromial impingement syndrome
External rotation weakness: Infraspinatus vs. teres minor injury
Internal rotation weakness and positive lift-off test: Subscapularis tear
X-ray shows superior humeral head migration/sclerosis, loss of acromial-humeral interval
Imaging
Consider MRI
Consider U/S vs. CT arthrography if MRI contraindicated
Start Tylenol/NSAIDs for pain and refer to physical therapy
Refer refer to orthopedics if
No improvement after 6-12 weeks of physical therapy
Severe pain and significant weakness on initial exam
Pt advised to avoid overhead activity
Note: If the initial exam is concerning enough to warrant MRI, the patient should be referred to orthopedics where an MRI will likely be performed. (In other words, MRIs are rarely ordered by primary care physicians in areas with reasonable access to specialists.)