PASTA lesion

PASTA Lesion (Partial Articular Sided Tendon Avulsion) What is it?

The rotator cuff is comprised of the four muscles and tendons that surround the top of the upper arm bone (humerus) and hold it in the shoulder joint (see Anatomy)

A PASTA lesion may result suddenly from a single traumatic event or may develop gradually. The lesion is a detachment of the front of the supraspinatus tendon from its attachment inside the joint. The majority of the tendon is still intact and attached properly

What is PASTA Lesion?

The full form of PASTA clinically is Partial Articular Supraspinatus Tendon Avulsion. For understanding what it refers to, it is essential to understand each term separately.

Partial: it signifies that the tendon has not torn completely.

Articular: The inner side of the tendon is known as Articular. The other surface being known as Bursal.

Supraspinatus Tendon: network of tendons and muscles that form the rotator cuff and help in moving and stabilizing the arm at the shoulder.

Avulsion: Traumatic injury caused by a heavy force. Thus, PASTA Lesion is an injury that is caused as a partial tear to the supraspinatus tendon in the rotator cuff.


How is the diagnosis made?

The doctor will listen to the description of the symptoms and examine the shoulder for pain and weakness. Several investigations may be required to confirm the diagnosis. These can include:

  • Ultrasound
  • MRI

How is PASTA Lesion treated?

After taking into account the size of the tear and the age of the patient, PASTA Lesion may be effectively treated by surgical techniques and given some relief by non surgical techniques. Non-Surgical Techniques comprise of rest to the shoulder, avoidance of all activities that may inflame the pain, anti inflammatory medicines, steroid injections and physical therapy. Surgical Techniques include

Arthroscopic Repair (keyhole surgery): with very small incisions in your shoulder joint the surgeon inserts a fibre optic camera to view the damage and then special tools to repair the tear.

Mini Open Repair: Under this technique the surgeon completes the arthroscopic diagnosing through camera and then exposes the supraspinatus tendon to be surgically repaired.

What is the success ratio of the treatment?

Every case is different and so is the recovery after surgery. Surgery and rehabilitation program can together be effectively implemented to restore full range of mobility to the shoulder. It takes almost a year to regain complete strength and mobility.

Risk factors

  • Degeneration due to aging.
  • Repetitive overhead motion, such as tennis.
  • Excessive force, such as a fall.

Signs and symptoms

These are often very similar to other rotator cuff conditions and initially it may be difficult to distinguish them.

  • Recurrent, constant pain, particularly with overhead activities.
  • Pain at night that prevents sleeping on the affected side.
  • Muscle weakness, especially when attempting to lift the arm above shoulder height.

Why People Choose Us

PASTA lesion

PASTA lesion

The anterior cruciate ligament or ACL is one of the most important ligaments in the knee. When it is torn, reconstructive surgery is often necessary to stabilize the knee. Dr. Rahul Bade orthopedic surgeon specialize in ACL reconstruction and ACL Repair.

ACL reconstruction surgery involves a graft to replace the torn ligament. Autographs involving parts of the patient’s body are the most commonly used forms, which usually come from the tendon of the kneecap (patellar), from the hamstring, or from the quadriceps tendon.

Anterior Cruciate Ligament
( ACL ) Reconstruction

The ACL — one of two ligaments that crosses the middle of the knee — connects your thighbone to your shinbone and helps stabilize your knee joint.

Most ACL injuries happen during sports and fitness activities that can put stress on the knee:

  • Suddenly slowing down and changing direction (cutting)
  • Pivoting with your foot firmly planted
  • Landing from a jump incorrectly
  • Stopping suddenly
  • Receiving a direct blow to the knee

A course of physical therapy may successfully treat an ACL injury for people who are relatively inactive, engage in moderate exercise and recreational activities, or play sports that put less stress on the knees.


Anterior Cruciate Ligament
( ACL ) Reconstruction

ACL reconstruction is a surgical procedure. And, as with any surgery, bleeding and infection at the surgical site are potential risks. Other risks associated with ACL reconstruction include:

  • Knee pain or stiffness
  • Poor healing of the graft
  • Graft failure after returning to sport