What are the tests for rotator cuff injuries?

PE, MRI, US: The first step in evaluating for a rotator cuff tear is talking to the patient about their symptoms and performing a good physical exam (pe) of the shoulder. Often xray's are done to look at the bones. To more accurately look at the rotator cuff, a MRI is commonly done. Mri's are the standard diagnostic test. Some providers are skilled at looking at the rotator cuff with an ultrasound (us).

Physical exam & MRI: There are certain physical exam maneuvers and strength tests that your doctor will perform to determine the likelihood that you have a rotator cuff injury. While an MRI can help with the diagnosis, it must be used in conjunction with a thorough shoulder exam to increase its usefulness in making the correct diagnosis.

Depends: Initial tests performed are physical examination tests, and include neer and hawkins impingement signs. Strength of the rotator cuff is assessed. If there is significant weakness identified, or pain does not improve with conservative treatment, MRI or ultrasound is needed.

MRI.: Usually, we will get xrays first, to get an idea of the bony architecture of the shoulder, look for arthritis, and, any evidence of rotator cuff tear. But the MRI is more definitive.