Patients with any of the following suspected should be sent to A&E:
Urgent appointments should be made in a consultant led clinic for patients with:
Immediate referral via A&E if infection or tumour is suspected or if the condition is worsening very rapidly.
Acute history of trauma AND if patient under 40 years of age(likely cuff tear ) organise U/S and refer directly to surgeons (via the interface team).
Diagnosis may be difficult early in pathway but consider trauma versus degenerative tendinopathy and impingement syndromes.
Symptoms to consider :-
Referral to Orthopaedic Surgeon is appropriate in cases of complex diagnosis and management.
Rotator cuff repair:
Surgical interventions include:
NB: Rotator cuff disorders with traumatic or degenerative onset may be may be associated with other GHJ or ACJ joint and soft tissue disorders; e.g. Frozen Shoulder and instability; therefore cross referencing the pathways is essential.