Degerative RCT is a common entity in elderly population. I would like to ask what are the indications of operative intervention in rotator cuff other than tear of the cuff with weakness of RC?
Hi,
I think the the treatment algorithm published by Robert Z. Tashjian, MD* “Epidemiology, Natural History, and Indications for Treatment of Rotator Cuff Tears” Clin Sports Med 31 (2012) 589–604 is useful
Treatment algorithm for rotator cuff disease
Group I—initial nonoperative treatment Tendonitis Partial-thickness tears (except maybe larger bursal-sided tears) Maybe small (
@ Pablo Narbona Thanks a lot for your relevant and informative response
Indications other than Tear and weakness:
1) pain not relieved by non-operative treatment (e.g. several injections and physical therapy) if the tear is repairable and does not show high grade fatty infiltration
2) Subscapularis tear- a "key muscle" for horizontal and vertical force couple balance: if possible should be repaired. On the other hand a chronic supraspinatus tear can be well compensated for by an intact horizontal force couple balance.
3) biceps tendinopathy and hour glass biceps in the setting of a chronic cuff tear: a simple tenotomy can relief pain and improve function
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