CONSULT REQUEST GUIDELINES                                                                         Print

Rotator Cuff Tear

Suggested Pre-Referral Evaluation and Management Guidelines
1)  Patient should be immobilized depending on pain and instability
2)  Ice
3)  Physical Therapy may be indicated
Suggested Additional Test/Management Prior to Specialty Visit X-ray
Ultrasound or MRI may be indicated
Patient Education/Information (includes preps)
1)  Refer to Sports Medicine
2)  Not all cases are surgical, further testing may be needed
3)  Physical Therapy may be indicated
Appointment Timeframe 1-2 weeks
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry films and reports
Clinic Contact Information Physicians: 800-962-3555
Patient: to contact MedSport at Dominos directly at 877-877-9333
or 734-930-7400 option l
Clinic Location Sites Ann Arbor - Domino's Farms
Northville Health Center
UM Consulting Physician Sports Medicine Faculty
Revised on: 01/19/2015



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