Specialists

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Massive Rotator Cuff Tears

These tears usually exceed 4 to 5 cm in dimension, but can be deceiving. Clearly a tear retracted in a lateral to medial direction of 5 cm presents as a very challenging repair whereas a tear extending 5 cm in an anterior to posterior direction without significant retraction is a much easier surgical problem to […]

Partial Thickness Rotator Cuff Tears: Treatment

It is important to understand that not all full thickness rotator cuff tears are alike, and that some complete tears are compatible with excellent function and minimal discomfort. Armed with biomechanical models, basic engineering principles, and kinematic studies of patients with known rotator cuff tears, Burkhart defined the “functional rotator cuff tear.”

His reasoning was […]

Imaging Evaluation

X-ray films are an integral part of the work up and necessary to gain additional information. The views that are the most valuable are anterior-posterior (AP) view, supraspinatous outlet view, and axillary lateral. A 15-degree cephalic view of the AC joint, and an AP view with humeral internal rotation can also be helpful.

It is […]