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Rotator cuff rupture

Ruptures of the rotator cuff may be partial or complete and they are always more frequent. In 90% of cases, these injuries are degenerative, while only 10% of them derive from a trauma.

Degenerative ruptures are the natural evolution of a chronic tendinopathy of the cuff and of an external subacromial conflict.
Traumatic ruptures are related to young patients, “overhead” sportspeople while performing an athletic activity, or are the consequence of falls on the shoulder in case of accidents, being usually associated with anterior dislocations of fractures of the humerus.

The treatment is usually conservative when dealing with partial ruptures, with continuous check-ups that allow the autonomy of the patient in the everyday life.

Complete lesions, instead, have a worse prognosis and surgery is in the most of the cases the only solution, as well as for the partial lesions that seem not to respond to the conservative therapy after a few months.

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