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April 1975, Vol 135, No. 4 >
ARTICLE | April 1975

Rotator Cuff Tears in Rheumatoid Arthritis

Joseph J. Weiss, MD; George R. Thompson, MD; Vivienne Doust, MB; Francis Burgener, MD
Arch Intern Med. 1975;135(4):521-525. doi:10.1001/archinte.1975.00330040033005.
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Rotator cuff tear secondary to chronic synovitis eroding the rotator cuff tendon is a complication of rheumatoid arthritis that has received little attention. Patients with such tears have a long history of active rheumatoid disease preceding the sudden onset of increased unilateral shoulder pain and immobility. The physician may interpret this change as indicating a joint infection or rheumatoid flare, and initiate a drastic change in the patient's therapy. Shoulder arthrography reveals the correct diagnosis. Appropriate treatment consists of heat, rest, range of motion exercises, and repeated intra-articular injection of steroids.

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