2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Introduction: 40-Year-Old Male With a Partial Rotator Cuff Tear Not Responding to Conservative Therapy

Debate Introduction: 40-Year-Old Male With a Partial Rotator Cuff Tear Not Responding to Conservative Therapy

Video Transcription

Video Summary

The patient is a 40-year-old active male experiencing two years of pain from a traumatic injury during training exercises. Non-operative management has been unsuccessful, including injections, physical therapy, and home exercises. The patient exhibits tenderness anteriorly, with isolated supraspinatus weakness and positive Neer and Hawkins signs. The panel discusses treatment options, with Joe Toro focusing on Trantendin, Rick Ryu addressing biology, and Guillermo Arce suggesting the biceps be addressed. There is no instability or tight posterior capsule present.

Asset Caption

Jonathan B. Ticker, M.D., FAANA & Ivan H. Wong, M.D., FAANA

Meta Tag

Concept Shoulder Pain

Concept Supraspinatus

Concept Muscle Weakness

Concept Neer Test

Concept Hawkins Test

Keywords

40-year-old male

traumatic injury

non-operative management

supraspinatus weakness

treatment options

Shoulder Pain

Supraspinatus

Muscle Weakness

Neer Test

Hawkins Test