Rotator Cuff Tears in the Elderly: A Brief Review of Two Cases

Editor's note

“…Contrary to Dr. Lewis' imputations, I do not encourage the use of narcotic analgesics and in my article admonished “… narcotics should be avoided.” 1 Regarding the use of nonsteroidal anti‐inflammatory agents (NSAID's), I concur with Dr. Lewis' contention that physical therapy modalities may reduce or eliminate the need for NSAIDs. However, in my clinical experience, judicious prescription of an NSAID is often necessary as an adjunct to management of rotator tears.…”

“…In reply: —I appreciate the comments of Dr. Lewis and acknowledge that physical therapy can enhance the management of rotator cuff disease. As suggested by Dr. Lewis, both patients were offered rehabilitative intervention; however, one refused and the other received assisted range‐of‐motion exercises 1 . Dr. Lewis' suggestion of Codman exercises is also well taken and of significant therapeutic value; however, the Chandler position for circumduction is often preferable in frail elders.…”

Rotator Cuff Tears

“…To the Editor: —I read with avid interest, the article entitled “Rotator Cuff Tears in Elderly: a Brief View of Two Cases,” by Paul Rousseau in the June 1992 issue of the Journal of the American Geriatrics Society 1 . Dr. Rousseau's brief review of the literature on rotator cuff tears, specifically diagnostic features in terms of evaluation, was particularly educational.…”