179. Rotator Cuff Tears 101: Partial vs. Full Thickness & What It Means for Your Patients
transcript
show notes
Not all rotator cuff tears are the same, and understanding why can completely change how you set expectations and build a plan with your patients. In this episode, we break down tendon anatomy and physiology, the different ways rotator cuff tears develop (degenerative vs. traumatic), the difference between partial- and full-thickness tears, and the factors that influence healing and prognosis for both conservative and surgical patients.
In this episode you'll learn:
- What a tendon actually is and why its structure (and blood supply) matters for healing
- The difference between degenerative and traumatic rotator cuff tears
- Risk factors that make someone more likely to develop a tear
- Articular-side vs. bursal-side partial thickness tears — and why bursal tears tend to hurt more
- What "massive" and "irreparable" tears mean, and how outcomes differ
- Predictors of good outcomes with conservative care (hint: baseline ROM and strength matter)
- A quick look at steroid injections vs. PRP for rotator cuff tears
Test yourself:
- What is a tendon's main job, and what structures help it do that job?
- What are the main categories of rotator cuff tears?
- What are the two types of partial thickness tears, and how do they differ?
- What factors affect healing after a rotator cuff tear — for both conservative and surgical patients?
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Resources:
- 📋 Free rotator cuff study guide
- 📱 Follow along on TikTok @ptsnackspodcast for visual study tools
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