Traumatic injury at any age

Requires Glenohumeral join AP and axillary view x-rays (consider referral to A&E or MIU)

If normal x-ray, but unable to elevate to 90 degrees by 2/52, then consider rotator cuff tear.

EITHER ultrasound or urgent referral

If cuff tear found then consider urgent referral for surgery

If no cuff tear and no improvement with physio, then consider referral