PT Snacks Podcast: Physical Therapy with Dr. Kasey Hankins

179. Rotator Cuff Tears 101: Partial vs. Full Thickness & What It Means for Your Patients

β€’ Kasey Hankins, PT, DPT, OCS β€’ Season 6 β€’ Episode 17

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Not all rotator cuff tears are the same, and understanding why can completely change how you set expectations and build a plan with your patients. In this episode, we break down tendon anatomy and physiology, the different ways rotator cuff tears develop (degenerative vs. traumatic), the difference between partial- and full-thickness tears, and the factors that influence healing and prognosis for both conservative and surgical patients.

In this episode you'll learn:

  • What a tendon actually is and why its structure (and blood supply) matters for healing
  • The difference between degenerative and traumatic rotator cuff tears
  • Risk factors that make someone more likely to develop a tear
  • Articular-side vs. bursal-side partial thickness tears β€” and why bursal tears tend to hurt more
  • What "massive" and "irreparable" tears mean, and how outcomes differ
  • Predictors of good outcomes with conservative care (hint: baseline ROM and strength matter)
  • A quick look at steroid injections vs. PRP for rotator cuff tears

Test yourself:

  1. What is a tendon's main job, and what structures help it do that job?
  2. What are the main categories of rotator cuff tears?
  3. What are the two types of partial thickness tears, and how do they differ?
  4. What factors affect healing after a rotator cuff tear β€” for both conservative and surgical patients?

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