What is the best surgical procedure to treat a full thickness tear with 4.2 cm retraction in supraspinatus & infraspinatus tendons with 4.6 cm ap tendon gap due to displacement?

Question

Improve pain together with nsaid?s (2-6 weeks) cryotherapy (only in first 48 hours) massage improve circulation (to control inflammation and speed up the healing process) improve range of motion: stretching (careful with timing, as stretching of acute injury may aggravate the tear) crossover arm stretch: 12 seconds, 5 times a day; 5-6 days/week 4.png kristian berg. Prescriptive stretching; human kinetics door stretch: 5 x 30 seconds (5 second rest in between) passive/active range of motion: pendulum exercises: forward and back, side-to-side, circular motion. 2 sets of 10 a day, 5-6 days/week symptom limited active-assisted range of motion exercises 5.png kristian berg. Prescriptive stretching; human kinetics increase strength: rotator cuff (especially supraspinatus) strengthening to improve muscle control and strength prone horizontal abduction progress by using theraband prone row with external rotation regain function of affected upper limb (up to 3 months) home exercise programme.

Julie Mercy J David · Accepted Answer

Improve pain together with nsaid?s (2-6 weeks) cryotherapy (only in first 48 hours) massage improve circulation (to control inflammation and speed up the healing process) improve range of motion: stretching (careful with timing, as stretching of acute injury may aggravate the tear) crossover arm stretch: 12 seconds, 5 times a day; 5-6 days/week 4.png kristian berg. Prescriptive stretching; human kinetics door stretch: 5 x 30 seconds (5 second rest in between) passive/active range of motion: pendulum exercises: forward and back, side-to-side, circular motion. 2 sets of 10 a day, 5-6 days/week symptom limited active-assisted range of motion exercises 5.png kristian berg. Prescriptive stretching; human kinetics increase strength: rotator cuff (especially supraspinatus) strengthening to improve muscle control and strength prone horizontal abduction progress by using theraband prone row with external rotation regain function of affected upper limb (up to 3 months) home exercise programme.