About the author:

Howard J. Luks, MD

A Board Certified Orthopedic Surgeon in Hawthorne, NY. Dr Luks specializes in the treatment of the shoulder, knee, elbow, and ankle. He has a very "social" patient centric approach and believes that the more you understand about your issue, the more informed your decisions will be. Ultimately your treatments and his recommendations will be based on proper communications, proper understanding, and shared decision making principles --- all geared to improve your quality of life. Please read our Disclaimer

5 comments on “Video: Why Are Partial Rotator Cuff Tears so Common

  1. Dr. Luks,
    Thank you for this very informative video! I live about 3 hours away but I am seriously considering making an appointment with you. I am 62 years old and recently had an MRI of my shoulder and cervical spine. I have a fusion at C 4-5 so I assumed that was the source of my arm pain. The MRI showed otherwise. I have a full thickness tear of the distal aspect of the supraspinastus tendon anteriorly. There is associated supraspinastus and infraspinatus tendinosis and small probable intrasubstance tear longitudinally oriented in the infraspinatus tendon. Findings consistent with high grade partial thickness tearing of the subscapularis tendon. Associated with this there is medially subluxation or dislocated biceps tendon long head out of the bicipital groove. Moderate glenohumeral joint effusion and moderate fluid in subacromial subdeltoid bursa. Moderately large apparently septated subscapularis bursal fluid collection.
    My question is do I need surgery? I had a month of physical therapy prior to the MRI. It was my physical therapist who felt the need for an MRI and after seeing the results he will not give me any further PT. Thank you for taking the time to read this lengthy email. I would appreciate any advice you can offer.

    1. HI Sue…
      Sometimes therapy isn’t effective. The biceps dislocation might be bothering you more than the other changes. Only a good examination can help determine what might be your next step.
      Good luck… we would be more than happy to see you.

      Howard Luks

  2. Hi Dr. Luks,
    I’m 5 months post-op revision arthroscopic rotator cuff repair. At 15 weeks post-op my surgeon saw something alarming with my External Rotation Range of Motion so had an MRI ordered. The MRI showed a complete full-thickness retear of infraspinatus 1.5 cm of retraction of the tendon from the superior humeral head. Can you use the Rotation Medical Bioinductive Implant in a re-repair or is it only good for partial tears? Is this implant similar to an augmentation patch? How successful is it using this implant and what are the longterm outcomes of using them?

    Thanks,
    Debbie

    1. Hi Debbie.. The results of revision rotator cuff surgery are not very good. Sometimes an augment (rotation medical, graft jacket, etc) can improve the chance of success…but this is an unsolved issue in the world of shoulder surgery.

  3. Hi Dr. Luks,

    Thanks for your response. Do you have patients like me who have a complete full-thickness re-re-tear of infraspinatus tendon, but their subcap and supraspinatus tendons are intact but decide not to have surgery and just continue on a rotator cuff strengthening program? How do they do in the longterm? Can they continue on being physically active playing tennis and softball? Can they develop arthritis later on?

    Thanks,
    Debbie

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