II. Causes

  1. Repetitive overhead activity
  2. Glenoid Labrum Tear with secondary cyst formation

III. Symptoms

  1. Infraspinatus weakness
    1. Weak external rotation at the Shoulder
  2. Supraspinatus weakness (variably involved)
    1. Weak arm elevation overhead

IV. Differential Diagnosis

V. Diagnostics

  1. MRI Shoulder
    1. Evaluate for Rotator Cuff Tear, Labral Tear
    2. Obtain early in course (i.e. first month)

VI. Management

  1. Referral to orthopedic surgery if Rotator Cuff Injury
  2. Physical Therapy
    1. Shoulder Range of Motion Exercises
    2. Strengthen compensatory muscles
  3. Avoid reinjury
    1. Avoid heavy lifting
    2. Avoid repetitive overhead activity

VII. Course

  1. Anticipate 6-12 month course with therapy

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