Standard X-Rays : AP (neutral, medial and lateral rotation) and Lamy lateral views: acromial hooking, subacromial impingement syndrome, impingement.

Ultrasound : partial tear, complete tear

MRI or arthroscan : gives information on the size of the tear, and the amount of muscle atrophy, and fatty degeneration of the biceps

Conservative: Rehabilitation
Surgical: direct repair of the tear, plasty, muscle transfer

In case of associated degenerative arthritis, which implant?

• If the rotator cuff is functional : anatomic prosthesis
• If the rotator cuff is destroyed : reverse total shoulder prosthesis
• If the glenoid fossa is intact: : simple humeral implant

Implant longevity

• 10 to 15 or 20 years
• In case of loosening of the glenoid component, redo surgery is possible
• Benefit of a universal implant

Pain free, full motion, but strength often reduced as compared to a normal shoulder.