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Abstract Rotator cuff tears are considered one of the most common problems that affect the shoulder and causes severe shoulder pain, inability to move and elevate the shoulder. Rotator cuff tears may be due to direct trauma or may also happen at the same time with another injury to the shoulder, such as a fracture or dislocation. Most tears, however, are the result of overuse of these muscles and tendons as in sports such as baseball and tennis. The diagnosis of these cases depends on clinical examination and imaging studies such as plain radiography, ultrasonography, MR imaging & MR arthrography which is considered the best method for the diagnosis of rotator cuff tears, because it tells the size and the site of the tear. Conservative treatment options including rest and limited overhead activity, use of a sling, anti-inflammatory medication, steroid injection, strengthening exercise and physical therapy is considered an effective method in the treatment of rotator cuff tears. Surgical treatment is indicated for cases not responding to conservative treatment, cases of full thickness rotator cuff tears or if maximum strength in the arm. |