Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right shoulder pain, localized to the lateral deltoid region, exacerbated by overhead activities and night pain. Reports significant weakness in abduction and external rotation, with a history of progressive functional decline and failed conservative management.
Clinical Examination Findings
Right shoulder inspection reveals atrophy of the supraspinatus and infraspinatus fossae. Palpation demonstrates tenderness over the greater tuberosity. Active range of motion is limited in abduction. Positive Jobe’s (Empty Can) test, positive Drop Arm test, and significant weakness in resisted abduction (5/5 strength in contralateral, 3/5 in right). Neurovascular status intact.
Treatment Protocol
Recommended surgical intervention: Arthroscopic repair of the complete supraspinatus tendon tear. Pre-operative plan includes physical therapy for range of motion, followed by post-operative immobilization in an abduction sling for 6 weeks, progressing to structured rehabilitation.