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CASE REPORT
Large Rotator Cuff Tear in 71M
https://upload.orthobullets.com/cases/102409/464bb5af-3a92-4533-842e-56812ef1c93f_image1.jpg https://upload.orthobullets.com/cases/102409/e0abac30-af89-44fb-b6d3-697750bf84d8_image2.jpg
A
Raffy Mirzayan MD
Kaiser Permanente Baldwin Park Medical Center
Shoulder360™ The Comprehensive Shoulder Course 2024
Shoulder360™ The Comprehensive Shoulder Course 2024
VIEW EXPERT OPINIONS
HPI
A 71-year-old male, retired active male, RHD, presents with left shoulder pain of 3-month duration. The pain is worse with forward elevation, in which... he reports it is a 10 out of 10. He reports difficulty sleeping at night due to shoulder pain. He is an avid pickleball player and is unable to play due to the pain in his shoulder. He is taking Motrin and Tylenol with minimal pain relief. He has attempted physical therapy and one cortisone injection with no significant and lasting pain relief. His cortisone injection was done 9 weeks ago.
6753   votes
1
(P: 182189) In addition to the standard radiographs of the shoulder, what additional imaging studies would you get to guide treatment?
None - standard radiographs of the shoulder are sufficient
5%
36/613
Additional radiographic views (aXR)
0%
4/613
CT scan of the shoulder (CT)
1%
7/613
MRI scan of the shoulder (MRI)
80%
491/613
aXR + CT
0%
1/613
aXR + MRI
6%
41/613
CT + MRI
3%
19/613
aXR + CT + MRI
0%
6/613
Outside my area of expertise - best if I don't vote
1%
8/613
9   Surgeons
1
George Balis, MD Cleveland Clinic Martin Health
TOP 5 %
Patient Care
United States of America
Last Year
United States of America
2
Pulak Kumar, MD fintas, KW
TOP 5 %
Patient Care
Kuwait
Last Year
Kuwait
3
Jonathan Levy, MD Paley Orthopaedic & Spine Institute
TOP 5 %
Educator
United States of America
Last Year
United States of America
4
Mark Powell, MD Powell Orthopedics
TOP 5 %
Patient Care
United States of America
Last Year
United States of America
5
Chris Mattern, MD White Plains, US
TOP 5 %
Patient Care
United States of America
Last Year
United States of America
55   Countries
1
United States of America
114 surgeons
2
United Kingdom of Great Britain and Northern Ireland
14 surgeons
3
Greece
13 surgeons
4
Turkey
11 surgeons
5
Canada
9 surgeons
98   Expert Comments
Anton Lambers MD
TOP 5 %
Educator
Australia
Last Week
Call me a pessimist but when I see cuff retraction beyond the vertex of the humeral head in a 71yo I... more
Spencer Schulte MD
TOP 5 %
Patient Care
United States of America
Last Year
For the patient in this case, how would fatty infiltration influence the options you offer the patie... more
Daniel Acevedo MD
TOP 5 %
Educator
United States of America
Last Year
Great case. Definitely one for a biological augment. This cuff is pretty retracted and in these case... more
More comments
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Total Elbow Arthroplasty
PMID: 30139684 J Shoulder Elbow Surg. 2018 Oct;27(10):e322. Epub 2018 Aug 20.
E
post

Letter to the editor regarding Na et al: "Modified triceps fascial tongue approach for primary total elbow arthroplasty".

Peter J. Evans MD/PhD
Cleveland Clinic Martin Health South - Dept. Orthopaedic Surgery
Letter to the editor regarding Na et al: "Modified triceps fascial tongue approach for primary total elbow arthroplasty".
Pubmed
Journal



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    Letter to the editor regarding Na et al: "Modified triceps fascial tongue approach for primary total elbow arthroplasty".
    Pubmed
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