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Consult Request Guidelines
for Rotator Cuff Tear
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
Xray
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 CareWeb
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
UM Consulting Physician
Sports Medicine Faculty
Revised on:
05/27/2009