Supraspinatus tendon tear

Rupture of the m. supraspinatus tendon occurs most often during its degenerative changes, which are preceded by signs of impingement syndrome.

Clinical manifestation

 * incapability of an active  elevation of the upper arm between 60°–120°;
 * passive elevation is possible;
 * positive drop test;
 * positive Gerber test.

Diagnostics

 * in addition to symptoms, ultrasound and nuclear magnetic resonance can be performed.

Treatment

 * Conservative
 * in elderly patients;
 * orthosis, abduction splint.
 * Surgical
 * in younger and physically active patients;
 * suture or reinsertion.

Related articles

 * Muscles of the upper limb
 * Humeral head fractures