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Previous Volume 358:2138-2147 May 15, 2008 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 63-year-old woman presents with a 2-year history of progressive weakness and discomfort in her right shoulder, especially when she puts dishes on the top shelf in her kitchen. She is otherwise healthy and has had no injuries. Her physician diagnosed "bursitis" and gave her four subacromial corticosteroid injections; the first two seemed to relieve her symptoms temporarily, but the last two . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation

Imaging

Treatment

            Acute Complete Tears

            Partial-Thickness Rotator-Cuff Tendon Defects

            Chronic, Full-Thickness, Degenerative Tendon Defects

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Orthopaedics and Sports Medicine, University of Washington, Seattle.

An audio version of this article is available at www.nejm.org.

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