rim rent tear supraspinatus

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Dr. David Trettin answered:

Does physiotherapy help in partial supraspinatus tear?

Yes

Physical_therapy
Partial thickness(articular or bursal sided)rotator cuff tears esp. in someone only 27 yrs.old may respond to a rotator cuff strengthening program.... If pain or weakness ( or instability, possibly) worsen than arthroscopic debridement or repair(depending on the thickness of the tear) can be performed in conjunction w/ decompression or capsular plication. See an experienced shoulder specialist.
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What is the treatment of a partial tear to the supraspinatus?

Rehab for most

Physical_therapy
This is commonly managed with a structured physical therapy program and takes months to optimize outcome. Surgery is discussed after months of rehab with continued pain and associated weakened despite full compliance with a proper rehab program.
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Dr. Keith Baldwin answered:

What does high grade partial undersurface supraspinatus tear mean?

Partial rotator cuff

Rehab
This tear can respond to rehab, sometimes in higher level athletes a nagging injury will require tear completion and repair
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What does a "full thickness tear of the supraspinatus tendon" mean?

Rotator Cuff Tear

Tendon
IF you are 31 and have a full thickness tear of your suprspinatous tendon, you have a problem. The supraspinatous is one of the 4 muscles that make up your rotator cuff. Tears at your age are unusual, often due to trauma and should generally be repaired with surgery. See an orthopaedist to get it checked out.
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What is the best Rx for hi grade partial undersurface tear of distal supraspinatus tendon?

Arthroscopic eval

A high-grade tear of the rotator cuff acts like a full-thickness tear, although there are still some intact fibers. Injections and therapy may provide temporary relief of pain at night and with activities. The most effective may to achieve long-term pain relief and improved function is with shoulder arthroscopy. See a board certified Orthopaedic surgeon for evaluation and treatment.
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I have a rotator cuff injury and drop arm test shows supraspinatus tear. Do I need to have surgery?

Depends

Open-uri20121116-1522-s1nvdz
If you have a complete rotator cuff tear with weakness and night pain in your dominant shoulder then yes, at age 45 you may need surgery. You don't mention having an MRI. If you do get an MRI arthrogram as it provides more information. Have you tried any physical therapy yet ?
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Dr. Vivek Agrawal answered:

High grade partial thickness bursal surface tear distal junction supraspinatus and infraspinatus tendons?

MRI diagnosis

The best results happen when a clear diagnosis is established with a detailed examination and history and confirmed with testing such as an MRI or EMG, not the other way around. Be careful about having surgery based on an MRI report. Learn more: http://www.theshouldercenter.com/Shoulder-Pain.htm and http://www.theshouldercenter.com/Rotator-Cuff-Tear.htm
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What does a high-grade tear of the anterior supraspinatus muscle at the myotendinous junction mean? How is it treated? I'm 27 years old.

Probably surgery

Muscle
A shoulder injury in twenties male caused a tear of supraspinatus muscle, which goes over top of shoulder to top of humerus, the upper arm bone. Function of this muscle is to elevate arm in motion called abduction. Since tear is at place that tendon of muscle attaches to shoulder musculotendinous cuff, it will likely not heal spontaneously. Surgery to attach tendon will be required.
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Known hi grade partial distal supraspinatus tear poss labrum tear experiencing pain above scapula very tender to touch. What could it be?

Rotator cuff

Open-uri20130526-6253-a6obo8
High grade tears generally will not heal by themselves...and will often eventually lead to full thickness tears. Surgical treatment is likely to be eventually needed. There is no harm in trying conservative treatment such as PT, NSAIDS, cortisone injections, etc...just realize that this will likely just delay the inevitable. Also, scapular pain may not be rotator cuff, but rather neck related.
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Dr. Tal David answered:

My 40yr f old friend has high grade partial thickness instrasubstance tear involving the distal supraspinatus tendon 80%thickness is this bad?

Rotator cuff surgery

Rotator_cuff
your friend has a significant tear of the rotator cuff muscle. This diagnosis usually requires surgery for long-term reliable improvement.
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