A member asked:

How can the doctor tell if i have an internal rotator cuff problem or an external rotator cuff problem?

3 doctors weighed in across 2 answers

Exam, x-ray & MRI: An external rotator cuff problem would be shoulder impingement. The rotator cuff is pinched by the bony structure of the shoulder, causing inflammation of the bursa and rotator cuff tendon. An internal rotator cuff problem would be a tear of the cuff itself. Physical exam may reveal weakness associated with a rotator cuff tear, confirms by mri. Pain only with exam is more likely to be impingement.

Answered 7/17/2012

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Shoulder Specialist: Extrinsic impingement or the idea that a bone spur wears the rotator cuff away is currently thought to not be accurate. Learn more about this topic here: http://www.Theshouldercenter.Com/shoulderpain/2013/shoulder-surgery/spur-acromioplasty-impingement/.

Answered 3/20/2013

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