27M - Traumatic shoulder injury after bungee jump. Ultrasound shows supraspinatus & subscapularis tears + possible LHBT tear. Need advice.
Ultrasound report:
Possible LHBT tear (MRI recommended)
Subscapularis insertional tear (12×4×4 mm)
Supraspinatus tear (7×6×3 mm)
Positive impingement
Infraspinatus intact
My symptoms are:
Constant loose/hanging feeling whenever my arm isn’t supported.
Clicking/catching.
Front shoulder pain with certain curling movements.
Tightness in external rotation.
What’s confusing me is that I have no pain on the lift-off test or belly-press test, and my physiotherapist says I have almost full ROM except external rotation. A walk-in doctor also felt these were probably small partial tears based on my function.
Questions:
Can a subscapularis tear still have a negative lift-off and belly-press test?
Does a 12×4×4 mm insertional tear automatically mean it’s high-grade, or could it still be a small partial tear?
Has anyone had ultrasound findings like this that looked better on MRI?
Would you continue physiotherapy while waiting for the MRI?
Thanks!