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Orthopedics & Traumatology

Rotator Cuff Tear, Partial, Left Shoulder

ICD-10 Code
M75.102

Partial tear of one or more rotator cuff tendons in the left shoulder.

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with chronic left shoulder pain, localized to the lateral deltoid, exacerbated by overhead activity and night pain. Reports weakness in abduction and external rotation. No history of acute trauma. Symptoms are refractory to conservative management including NSAIDs and rest.

Clinical Examination Findings

Left shoulder examination reveals tenderness over the greater tuberosity. Active range of motion is limited by pain in abduction. Positive Neer and Hawkins-Kennedy impingement signs. Strength testing demonstrates 4/5 weakness in supraspinatus (empty can test) and infraspinatus (resisted external rotation). Neurovascular status is intact distally.

Treatment Protocol

Initiate physical therapy focusing on rotator cuff strengthening and scapular stabilization. Prescribe NSAIDs for inflammation control. Consider subacromial corticosteroid injection if symptoms persist. Patient advised to avoid overhead activities. Follow-up in 6 weeks to reassess functional status.

Detailed clinical guide coming soon.