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KMID : 0948920150140010001
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Clinical Pain
2015 Volume.14 No. 1 p.1 ~ p.5
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Clinical Use and Limitation of Non-oper-ative Treatments in Patients with Rotator Cuff Tear
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Do Hyun-Kyung
Lim Jae-Young
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Abstract
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In recent years, rotator cuff tear has been increasing related to inappropriate use, overuse and repetitive overhead activ-ity rather than tendon tear by direct trauma, especially in the elderly. Rotator cuff tendon tear in middle-aged or old adults results from usually chronic degenerative disease. In many cases, symptoms do not correlate with lesions. Except for explicit surgical indication such as traumatic full thickness tear in young adults, non-operative treatment has been selected as a primary treatment for rotator cuff tear, and also it is recommended in irreparable lesion or the eld-erly not indicated for surgical treatments. Surgical treatment could be considered when further improvement is not proved with enough non-operative treatments. It is important to investigate clinical factors such as age, trauma history, tear size, the quality of the rotator cuff muscles based upon natural history and recovery patterns of rotator cuff lesions in order to determine non-operative or operative treatments timely and appropriately. Therefore, we reviewed the defi-nition, current clinical application, the evidence of effective-ness and the limitation of non-operative treatment in rotator cuff tear. We introduced maximizing non-operative treat-ments considering natural courses of disease and encour-aging the patients to be involved in the treatment more actively.
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KEYWORD
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Rotator cuff tear, Impingement, Shoulder, Conser-vative, Exercise
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