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.
  • Chip Review @ (12:44): Feast & Fury – Creamy Horseradish
  • Trivia question of the week @ (08:32): What is the best selling board game of all time?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
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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.

Other episodes you might enjoy:  

Corticosteroids: Episode 122

Upper Trapezius vs Levator Scapulae: Episode 117

Proximal Biceps Injuries: Episode 93

 

 

Shoulder Dislocation: Episode 63

  • In this episode: Shoulder dislocation is painful so please do not use force to try to relocate.

  • Chip Review: Tsakiris Chips – Salt (Thank you Dave Bata) (12:53)

  • Trivia question of the week: What is the only number, when spelt out that has the same number of letters as its value? (11:27)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

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Brief except from the episode:

Shoulder dislocation, it hurts. The most common cause is trauma, from a fall. The result is where the humerus (the upper arm bone), is no longer contacting the glenoid. Based on the joint configuration it is fairly easy to see why this happens. It is actually surprising this does not happen more often.
The shoulder joint is set up like a golf ball resting on a saucer that is tipped on it’s side. The saucer however, is the size of a golf tee. This is why there is a lot of mobility in the shoulder. It is also the reason why there can be a lot of instability.
Physical therapy can be a good way to help strengthen and stabilize the shoulder joint. Most people who come to physical therapy for a shoulder dislocation do so as a result of recurrent dislocation and are hoping to avoid surgery. Surgery is typically done to repair the labrum or to tighten up the joint capsule.
A lot of people recall the movie Lethal Weapon with Mel Gibson. We see him jam his shoulder into the wall to relocate it. This is 1 million percent the wrong way to try to relocate a shoulder. When a shoulder is dislocated the muscle around the shoulder go into spasm. The spasms prevent relocation. The goal is to try to get the individual with the dislocation to relax. If you can get the upper trapezius, the deltoid and the latissimus dorsi to stop spasming the shoulder will at times relocate on its own. DO NOT FORCE the shoulder to relocate.
Relocating a shoulder is difficult; take the individual to the hospital as soon as possible. Often time’s sedation is the only way to get an individual to relax and get the shoulder to relocate.

 

Other episodes you might enjoy:

Biceps Tendonitis: Episode 24

Imaging: Episode 45

Adhesive Capsulitis/Frozen Shoulder Syndrome: Episode 26

 

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