Rotator cuff tear arthropathy (RCTA) is a pattern of glenohumeral joint degenerative changes following rotator cuff tears, causing shoulder pain and stiffness. Subscapularis tears can also be involved in RCTA, or a significant cause of shoulder pain and disability.

How can you identify RCTA and subscap tears in your shoulder pain patients? How can they be treated, and do these patients respond well to non-surgical management?

Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.

The handout for this podcast consists of a transcript and research articles referenced in this podcast.

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Free trial Clinical Edge membership

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Links associated with this episode:

• Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson
• Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson
• Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Jo Gibson on Twitter
• Let David know what you liked about this podcast on Twitter
• Review the podcast on iTunes
• Infographics by Clinical Edge

Articles associated with this episode:

• CLICK HERE to download the articles associated with this podcast
• Conaire EÓ, Delaney R, Lädermann A, Schwank A, Struyf F. Massive Irreparable Rotator Cuff Tears: Which Patients Will Benefit from Physiotherapy Exercise Programs? A Narrative Review. International Journal of Environmental Research and Public Health. 2023 Mar 23;20(7):5242.
• Fahy K, Galvin R, Lewis J, Mc Creesh K. Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears: A systematic review & meta-analysis. Musculoskeletal Science and Practice. 2022 Jun 10:102597.

Chapters:

• 03:25 - What is cuff arthropathy?
• 05:35 - Contributing factors
• 07:33 - Patient history
• 08:37 - Subscapularis tendon tears
• 12:29 - Common mechanisms of injury
• 13:46 - Assessment tests
• 16:51 - Rotator cuff related shoulder pain

How can you successfully treat hip pain and instability associated with your patients’ hip dysplasia? Find out the eight critical steps to excellent results with hip dysplasia in this podcast, which is part 3 in this three-part podcast series with Tom Goom (Running Physio).

Improve running injury assessment & treatment now with the Running Repairs Online course with Tom Goom at clinicaledge.co/runningrepairs

Free video series: Achilles Tendinopathy from start to finish line! with Tom Goom

In this free Masterclass "Achilles tendinopathy: Assessment & rehab from start to finish line" presented by Tom Goom and hosted by Clinical Edge, you’ll discover:

• 3 common conditions that cause Achilles pain.
• How to assess patients with Achilles pain to get a clear diagnosis, and know where to start treatment.
• Rehab exercises that will help your patients overcome their Achilles pain.
• How to successfully return your patients to running or sport, and achieve their goals, without stirring up their pain.

CLICK HERE to register for your free access to this three-part video series with Tom Goom

CLICK HERE for your access to three free videos with Tom Goom

Links associated with this episode:

• Free Achilles tendinopathy videos
• Discover the simple secrets to successfully treat tendon pain in this free three part video series with Tom Goom
• Physio Edge podcast 154 - Part 1 of 3 - Hip dysplasia key signs & symptoms with Tom Goom
• Physio Edge podcast 156 - Part 2 of 3 - 3 Types of hip dysplasia and How0 to identify them
• Improve your confidence and clinical reasoning with a free trial Clinical Edge membership
• Join Tom live on Facebook & ask your shoulder related questions every Friday
• Download and subscribe to the podcast on iTunes
• Download the podcast now using the best podcast app currently in existence - Overcast
• Listen to the podcast on Spotify
• Tom Goom on Twitter
• Tom Goom’s website
• David Pope - Twitter
• David Pope & why I started Clinical Edge
• Review the podcast on iTunes
• Infographics by Clinical Edge

Articles associated with this episode:

• CLICK HERE to download the article associated with this podcast
• Wilkin GP, Ibrahim MM, Smit KM, Beaulé PE. A contemporary definition of hip dysplasia and structural instability: toward a comprehensive classification for acetabular dysplasia. The Journal of arthroplasty. 2017 Sep 1;32(9):S20-7.

Chapters: 

• 05:36 - Step 1: Assessment
• 07:10 - Step 2: Investigations
• 08:35 - Step 3: Patient education
• 10:07 - Step 4: Settling symptoms
• 16:25 - Step 5: Strength
• 18:15 - Step 6: Control and proprioception
• 20:08 - Step 7: Co-existing pathology
• 21:09 - Step 8: General health
• 22:32 - Key points