Show Partial tear of rotator cuff
Convert to ICD-10-CM: 726.13 converts approximately to:
Approximate Synonyms
726.13 Excludes
ICD-9-CM Volume 2 Index entries containing back-references to 726.13: Patients often assume the worst. A recent survey of 1308 participants shared widespread negative concerns about a Rotator Cuff Syndrome (RCS) diagnosis. The results of this survey demonstrate a perception-based fear of shoulder pain. Top responses include psychological distress and uncertainty. These patients are concerned about the historically poor prognosis associated with RCS, usually ending in surgery. (1) There is one question we must all answer for these patients: Is there a full-thickness rotator cuff tear? Instead of guessing, consider using the best orthopedic tests to identify the proper diagnosis. Once you zero in on the severity of tissue of origin, you can manage these patients more effectively, reducing their fear of “going under the knife.” Making the proper diagnosis between a partial-thickness and full-thickness rotator cuff lesion will make your treatment selection and anticipated prognosis infinitely easier. Advertisement Consider using the External Rotation Lag Sign (ERLS) to stop guessing at treatment and prognosis.The clinician passively flexes the patient’s elbow to 90 degrees with 20 degrees of shoulder abduction with the patient seated. The clinician then passively takes the patient’s shoulder into a position of maximal external rotation. The patient is then instructed to hold that position. The test is positive if the patient cannot maintain this position, as evidenced by retreating into internal rotation. A positive test is fairly specific and sensitive for a full-thickness tear of the supraspinatus tendon. The ERLS exploits the fact that a muscle with a full-thickness tear has less capacity to work. This test is highly specific and acceptably sensitive for diagnosing a full-thickness tear. Positioning during the test prevents synergistic muscles from compensating for a weak supraspinatus or infraspinatus. Testing the shoulder in an abducted position exploits a weak supraspinatus secondary to a tear. The anterior band of the supraspinatus (most common tear location) is an agonist to external rotation. (2) In the presence of a full-thickness tear, there is less ability to generate joint torque, hence a positive lag sign.
Does nighttime pain mean my patient has a rotator cuff tear?Between 70-90% of rotator cuff tendinopathy patients report sleep disturbances. (2) However, the degree of nighttime pain has no relevance to the size of the tear. (3) Night-time pain is a key clinical symptom, but still requires a physical exam and history to support the diagnosis of a rotator cuff tear. Should I perform an MRI to document a rotator cuff tear?You should consider advanced imaging in the absence of red flags after 4-6 weeks of failed conservative care. These expensive tests are needed to identify the possible need for future care, such as injection or surgery. Fortunately, the ERLS has similar sensitivity and specificity as ultrasound and MRI. Teefey, et al., have reported that the accuracy of US and MRI for diagnosing full-thickness tears is 98% and 100%, respectively. (5)
If my patient has a full-thickness tear, is surgery an option?Unfortunately, 82.4% of symptomatic full-thickness rotator cuff tears increased in size over a follow-up period of 6–100 months. (6) Arthroscopic repair of a full-thickness tear of the supraspinatus benefits those who do not respond to our clinical care. (7) Nobody wants to have surgery, but sometimes it can be helpful to prevent chronic pain and disability. In conclusion, making the differential diagnosis between a partial thickness tear and a full-thickness tear will help you develop the right treatment strategies and give a more accurate prognosis for the condition. ChiroUp subscribers can check out the condition references on Shoulder Anterior Impingement Syndrome and Rotator Cuff Syndrome for the complete list of evaluations and treatment strategies for your next patient with shoulder pain. References
What is a full thickness tear of the supraspinatus tendon?Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. These tendons have poor blood supply and will not heal themselves.
What is the ICDICD-10 code M75. 102 for Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic is a medical classification as listed by WHO under the range - Soft tissue disorders .
What is the ICD2023 ICD-10-CM Diagnosis Code M75. 120: Complete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic.
Is full thickness tear same as complete tear?Complete tears: More commonly referred to as a full-thickness tear, this injury entirely separates the tendon from the bone. Basically, it creates a hole in the tendon.
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