Makindo Medical Notes.com |
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BONE | INJURY SITE | TYPICAL MECHANISM | PITFALLS/COMPLICATIONS | ED/ MIU/ UCC TREATMENT | FOLLOW-UP | |
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Acute Rotator cuff tear | Supraspinatus, infraspinatus or subscapularis | Spontaneous rupture of degenerate tendon with sudden stress. Wrenching injury in younger patients. Post dislocation in older patients | Infraspinatus tear particularly debilitating: Identify from loss of active external rotation/lag sign | Broad arm sling and early active mobilisation | Elderly, low demand or frail: Next available ED physio appointment or referral to local physio via patient's own GP
Young/active/high demand: Urgent OPD USS + Fracture clinic |