The Shoulder

Complete rupture of the infraspinatus tendon.

Treatment of a chronic rupture

A complete tear of the infraspinatus tendon is much better tolerated than a rupture of the supraspinatus tendon.

An operative approach is not indicated in an old and organised rupture of the infraspinatus tendon.

Conservative treatment consists of:

1. Exercises (passive and active) to prevent contracture of the anterior capsule.
2. Pysiotherapy with functional exercises. Emphasis should be given to stabilising and strengthening of the shoulder girdle. (Levator scapulae and latissimus dorsi) and proprioceptive exercises for the other cuff muscles.

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[A System of Orthopaedic Medicine]

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