Even if you had previous tears, the
injury has further damaged your
rotator cuff muscles. You have involvement
of supraspinatus, infraspinatus and long head of biceps. Rotator cuff consists of supraspinatus, infraspinatus, teres minor, and subcapularis muscles.
Surgical management is indicated for a rotator cuff tear that does not respond to non surgical management and is associated with weakness, loss of function, and limited motion.
Take care!