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Item ID: tp0010   Source ID: 2

Description: Our customizable tear sheet pads feature detailed content approved by URAC's Health Web Site Accreditation Program combined with educational medical illustrations. Tear sheets are proven, inexpensive handouts that facilitate informed consent and improve patient compliance while functioning as a valuable branding and contact information tool.

Product Specifications: 8.5 x 11 inches, 50 tear sheets, two-sided information (full color front side, one-color back side), printed on heavy white stock, sturdy cardboard back, detailed medical illustrations in color and continuous tone, space available for overprinting of contact information (additional charge may apply).

This tear sheet pad contains the following information:

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Our customizable tear sheet pads feature detailed content approved by URAC's Health Web Site Accreditation Program combined with educational medical illustrations. Tear sheets are proven, inexpensive handouts that facilitate informed consent and improve patient compliance while functioning as a valuable branding and contact information tool.

Product Specifications: 8.5 x 11 inches, 50 tear sheets, two-sided information (full color front side, one-color back side), printed on heavy white stock, sturdy cardboard back, detailed medical illustrations in color and continuous tone, space available for overprinting of contact information (additional charge may apply).

This tear sheet pad contains the following information:

Rotator cuff injury is a strain or tear of the rotator cuff. The rotator cuff is made up of four separate tendons that fuse together to surround the shoulder joint.

Causes Causes of a rotator cuff injury include: • Direct blow to the shoulder area • Falling on an outstretched arm • Repetitive overhead motion of the arm such as in: • Baseball (mainly pitching) • Swimming • Tennis

Risk Factors Risk factors for a rotator cuff injury include: • Activities that involve repetitive overhead arm motion • Age: 40 or older • Heavy lifting • Weakened shoulder muscles from inactivity

Symptoms • Limited range of motion in the shoulder joint • Pain at night that prevents you from sleeping • Popping or clicking sounds when the shoulder is moved • Recurrent, constant pain, particularly when reaching overhead • Shoulder muscle weakness, especially when lifting the arm

Diagnosis The doctor will ask about your symptoms and medical history, and perform a physical exam. The doctor will carefully examine your shoulder. You will be asked to move your shoulder in several directions.

Tests may include: • X-ray – To rule out fractures and bone spurs. • Arthrogram – Dye is injected into the shoulder joint and then an x-ray is taken. The doctor will look for dye that leaks out of the joint, which indicates a tendon tear. • MRI – A test that uses magnetic waves to make pictures of the inside of the shoulder. This will show bones and tendons, and is an excellent way to determine either large or small tears of the cuff. • Arthroscopy – a thin, lighted tube is inserted through a small incision in the shoulder to look at the structures inside the shoulder. Arthroscopy can also be used for treatment. • Ultrasound – Although relatively uncommon in the United States, ultrasound can be useful in examining the rotator cuff for inflammation or tears.

Treatment The treatment will depend on the extent of your injury, level of pain, and amount of immobility. The first step is usually a non-surgical approach.

Non-surgical • Corticosteroid injections – to help reduce swelling and pain. • Ice – to help reduce swelling and pain. Apply ice to shoulder area for 15 minutes, three to four times a day. • Nonsteroidal anti-inflammatory drugs (NSAIDs) – to help control the pain. • Physical therapy – to help decrease inflammation and restore strength and motion to the shoulder area. • Rest – to help the shoulder heal. The doctor may recommend that you wear an arm sling to help rest the shoulder area.

Surgical • Arthroscopy – A small instrument is inserted into the shoulder and used to remove bone spurs or degenerated portions of the rotator cuff tendons. Lesser tears can be repaired during arthroscopy as well. • Mini-open repair with arthroscopy – This combines arthroscopy with an incision in the shoulder joint. Through the incision, the doctor can suture larger tears in the tendons. • Open surgery – This is used to repair the injured tendon in more severe cases. A tissue transfer or a tendon graft can be done during surgery if the tear is too large to be closed together. In the most severe cases, a joint replacement may be necessary.

Recovery Depending on the extent of your injury, full recovery can take anywhere from 2-6 months, and sometimes longer.

Prevention To reduce your chances of getting a rotator cuff injury: • Avoid heavy lifting. • Avoid overhead repetitive motion. • Exercise regularly to strengthen the muscles around the shoulder joint.

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