Partial Articular Supraspinatus Tendon Avulsion (PASTA) Rotator Cuff Tear
- The Partial Articular Supraspinatus Tendon Avulsion better known as a PASTA is the most common tear of the rotator cuff. It is present in up to 37% of the population and accounts for 90% of all partial thickness rotator cuff tears.
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Brief overview of the episode:
In this episode we discuss the PASTA rotato cuff tear. PASTA is an acronym for Partial Articular Supraspinatus Tendon Avulsion. This is a partial thickness tear of the supraspinatus. It is thought that the presents of this type of tear is between 17-37% of the population at any time. People 80 and over will show this tear 80% of the time. Upward of 90% of all partial thickness tears of the rotator cuff are PASTA type tears.
Some common characteristics of individuals with a PASTA are, overhead athletes, younger people and being a smoker. Symptoms include pain, weakness and loss of range of motion.
Unfortunately this tear has a tendency to increase as time passes. This seems to be due to a combination of activity, poor vascularization and thinner and less organized collagen. Physical therapy is recommend early and in almost all cases regardless of the size of tear. The goals are to reduce pain, increase range of motion and strength and eliminate the need for surgery.
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