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Chronic Massive Rotator Cuff Tear in 69M
HPI
A 69-year-old male, with a history of prior right rotator cuff repair in 2001, presents with progressive right shoulder pain. He worked as a carpenter for 40 years before retiring earlier this year. For the past 2 years, he has had progressive worsening of right shoulder pain with associated weakness and difficulty with overhead activities. A trial of NSAIDS and physical therapy did not improve his symptoms.
PMH
Hypertension Prior rotator cuff repair (2001)
PE
1. Tenderness to palpation laterally below the acromion and anteriorly over the bicipital groove. 2. Right shoulder range of motion reveals - active/passive abduction to 80/120 - forward elevation to 110/160 - external rotation at side to 30/50 - internal rotation to L5 vertebra 3. There is a positive Jobe's test with a negative belly press test. 4. He is neurovascularly intact.
Subacromial balloon spacer
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