Traumatic injury at any age


Requires Glenohumeral joint 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