supraspinatus is 12.7mm (covers superior facet of greater tuberosity) 6-7 mm tear corresponds to 50% partial thickness tear. infraspinatus is 13.4mm. subscapularis is 17.9mm. teres minor is 13.9mm. distance between articular cartilage to medial footprint of rotator cuff is 1.6-1.9 mm. AP dimension of footprint is 20mm.
If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm. Front view (left) and overhead view (right) of the tendons that form the rotator cuff. The blue arrows indicate a full-thickness tear in the supraspinatus tendon, the most common location for rotator cuff tears.
Strengthening exercises for rotator cuff tears
The physician documents the injury diagnosis as a rotator cuff (supraspinatus) tear of the right shoulder. The physician, in the electronic medical record (EMR) appropriately selects ICD-10 code S46. 011A.
A partial tear of the rotator cuff is when the tendon is damaged but not completely ruptured (torn); a full thickness tear is where the tendon has torn completely through, often where it is attached to the top of the upper arm (humerus), making a hole in the tendon.
CPT® Code. Description.23410. Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute.23412. Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic.23420. Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)29827.
Partial tears: Also called incomplete tears, the damage experienced by the tendon does not sever it completely. Complete tears: More commonly referred to as a full-thickness tear, this injury entirely separates the tendon from the bone.
In full thickness tears, the full width of the tendon is torn off of the bone. In partial thickness tears, some of the width of the tendon is torn off of the bone: low grade partial tears involve less than 50 percent of the width while in high grade tears more than 50 percent is torn.
A partial tear goes only part of the way into the tendon. It's usually described in terms of how deep the tear is in the tendon and doesn't refer to length, width or other dimensions. A full-thickness tear is when the wear in the tendon goes all the way through the tendon.
ICD-10 code M75. 121 for Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic is a medical classification as listed by WHO under the range - Soft tissue disorders .
Complete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic. M75. 120 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-9-CM 727.61 converts approximately to: 2022 ICD-10-CM M75. 120 Complete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic.
Conclusion: Nonoperative treatment is an effective and lasting option for many patients with a chronic, full-thickness rotator cuff tear. While some clinicians may argue that nonoperative treatment delays inevitable surgical repair, our study shows that patients can do very well over time.
The medial wall of the biceps groove denotes the lateral aspect of the lesser tuberosity and, thus, the subscapularis tendon. Full thickness tears typically occur here, and progress inferiorly through the length of the tendon. With full thickness and complete tears, the tendon retracts medially.