REHABILITATE, INVESTIGATE OR OPERATE?
Investigate Refer for x-ray and ultrasound if any of these factors are present: • Unsatisfactory improvement following a 6 week rehabilitation program (ie continued impairment of ADLs or sport) • Marked weakness with arm elevation past shoulder height, lasting more than 6 weeks • Pain interrupting sleep for more than 2 weeks
Operate Refer to a specialist/surgeon if any of these factors are present: • Ultrasound proven full thickness tendon tear • Unsatisfactory improvement with 6 weeks of a rehabilitation program (ie continued impairment of ADLs or sport)
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