How would you manage an isolated rupture of the infraspinatus at the musculotendinous junction in a 51 y/o avid hockey player?

By Nathan Faulkner 3 Videos

The patient is a 51 y/o otherwise healthy RHD avid hockey player who was involved in a collision on the ice with another player. He developed immediate left shoulder pain and inability to raise his arm to his head. He was evaluated in clinic with the following exam: active forward flexion to 80 degrees with 2+ pain, active abduction to 35 degrees with 2+ pain, passive ER to 40 degrees (vs. 70 degrees on the right), and IR to L5 (vs. T10 on the right). He has 3/5 strength of his SS and IS with 2+ pain, 4/5 strength of his subscapularis with 1+ pain. Radiographs were normal and MRI images are shown.

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