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How is Rotator Cuff Tendinosis Diagnosed?

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How is Rotator Cuff Tendinosis Diagnosed?

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In straight forward cases, the patient s history and physical exam may be all that is necessary to make a diagnosis of cuff tendinosis. In some patients, extreme pain may make it difficult to adequately assess the degree of tendon disease, raising suspicion of a possible partial or full thickness rotator cuff tear. Plain X-rays are generally obtained to screen for other possible causes of shoulder pain including arthritis or calcific tendonitis. These films also show the shape of the acromion bone, presence of abnormal bone spurs and the relationship of the ball to the socket. If the clinical history and exam are suspicious of a possible rotator cuff tear, an MRI with dye injected into the shoulder joint is the most accurate diagnostic study to assess the integrity of the tendon and look for tendinosis versus rotator cuff tear. Swelling and fluid in the tendon substance where it inserts into the humerus bone are consistent with rotator cuff tendinosis. What is the Natural History of Ro

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