ICJR CASES: Managing Massive Rotator Cuff Tears

    At ICJR’s 10th Annual Shoulder Course, Jay D. Keener, MD, presented 3 interesting teaching cases during a panel discussion on treatment options for massive rotator cuff tears:

    Case 1

    • 65-year-old female patient with 6-month history of right shoulder that interferes with activities and sleep
    • Insidious onset of pain; no history of trauma and no treatment
    • Elevation 140°, external rotation 50° lag to 10°, internal rotation to thoracolumbar junction
    • Moderate weakness in abduction; positive lag signs

    RELATED: A Head-to-Head Evaluation of Subacromial Balloon Spacer vs. Partial Repair for Massive Rotator Cuff Tears

    Case 2

    • 57-year-old, right-hand-dominant male patient with a small rotator cuff tear managed non-operatively 3 years prior
    • Presents with increased shoulder pain and greater weakness
    • Elevation 140°, external rotation 50° with no lag, internal rotation to thoracolumbar junction
    • Mild weakness in abduction, severe weakness in elevation

    Case 3

    • 56-year-old male patient with a 2-year history of right shoulder pain following a fall
    • Presents with more pronounced weakness than pain, although he has pain with activity
    • Experienced slight improvement with 2 rounds of physical therapy

    Joining Dr. Keener in discussing the treatment options for these patients were Peter Chalmers, MD; Grant E. Garrigues, MD; Evan S. Lederman, MD; and Joaquin Sanchez-Sotelo, MD, PhD.

    Click the image above to hear what they had to say about these cases.

    Faculty Bios

    Peter N. Chalmers, MD, is from the Department of Orthopaedic Surgery at the University of Utah, Salt Lake City, Utah.

    Grant E. Garrigues, MD, is from Midwest Orthopaedics at Rush and Rush University Medical Center, Chicago, Illinois. He was one of the course chairs for ICJR’s 10th Annual Shoulder Course.

    Jay D. Keener, MD, is from Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, Missouri.

    Evan S. Lederman, MD, is from Banner Health, Phoenix, Arizona.

    Joaquin Sanchez-Sotelo, MD, PhD, is from Mayo Clinic, Rochester, Minnesota. He was one of the course chairs for ICJR’s 10th Annual Shoulder Course.