Travels through the subacromial space to the superior greater tubercle. Its critical zone 1 cm proximal to insertion has reduced vascularity and is the most common tear site.
Most commonly impinged and torn rotator cuff tendon. Ultrasound and MRI are complementary for assessment. Full-thickness tears in active individuals typically require arthroscopic repair.
Incomplete articular or bursal surface tear producing a painful arc and mild weakness — often indistinguishable from tendinopathy without imaging.
Complete rupture allowing subacromial bursa-joint communication, causing significant abductor weakness requiring imaging confirmation and often surgical repair.
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