They can be classified according to their shape or rather their geometry 2:
Surgical Management
The report of rotator cuff tears, particularly if massive should include the following 1:
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.
ICD-10-CM Code for Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic M75. 121.
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.
ICD-10-CM Code for Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic M75. 102.
Definition/Description. A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle. The supraspinatus is part of the rotator cuff of the shoulder. Most of the time it is accompanied with another rotator cuff muscle tear.
A rotator cuff tear is a rip in the group of four muscles and tendons that stabilize your shoulder joint and let you lift and rotate your arms (your rotator cuff). It's also called a complete tear or a full-thickness tear.
The supraspinatus muscle is the only muscle of the rotator cuff that is not a rotator of the humerus. The infraspinatus is a powerful lateral rotator of the humerus. The tendon of this muscle is sometimes separated from the capsule of the glenohumeral joint by a bursa.
ICD-10 Code for Superior glenoid labrum lesion of left shoulder, initial encounter- S43. 432A- Codify by AAPC.
S49. 92XA - Unspecified injury of left shoulder and upper arm [initial encounter] | ICD-10-CM.
Supraspinatus tear can be caused by lifting something too heavy, falling on your arm, or dislocating your shoulder. However, host cases are the result of the tendon wearing down over time, which is known as a degenerative tear.
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.
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.
Summary. Full-thickness rotator cuff tears are diagnosed with the help of a thorough history and physical examination, as well as the use of imaging studies, most commonly, MRI. Symptomatic full thickness rotator cuff tears can be managed surgically. Surgical repair can often be performed arthroscopically.