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Rotator Cuff Disorders Case Study

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1. In chapter 9, it is mentioned that acromial osteophytic spurring’s are developed as a result of repetitive contact of the humeral head against the acromion. Is there any way we can differentiate that traction spurring’s from a hooked (type III) acromion? Also, are these acromial spurs always related to rotator cuff disorders?
2. In older patients, it is mentioned that rotator cuff tendon rupture usually occurs bilaterally. Is there any particular reason for that?

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