Our last post … When Should We MRI Your Shoulder will help you understand that we can make a reasonably good diagnosis and establish a treatment plan that should work without expensive, time-consuming imaging. In addition, many of our parts wear out. Like your favorite pair of jeans … Not all rotator cuff tears require rotator cuff surgery. The American Academy of Orthopedic Surgeons produced a document to assist surgeons in evidence-based management of rotator cuff tears. In this document , they find limited evidence to support surgery for degenerative rotator cuff tears without a trial of non-surgical management first. That said, some rotator cuff tears might continue to hurt after nonsurgical treatments … and you might be offered surgery as an option to improve your pain and thus your quality of life.
I tested German RWS .32 ACP FMJ ammunition against American (Winchester) .380 ACP FMJ ammo and found the .32 penetrated about 25 percent deeper and tumbled during the process. If you feel that the only way to ensure adequate penetration with these calibers is to use FMJ bullets, go with the .32 and try to find European loads. The RWS ammunition I used clocked an average 1,024 feet per second through a chronograph at 15 feet. If you compare that to the typical .380 ACP load, you’ll discover the energy edge goes to the .32. It’s no .45, but there is a reason more .32 ACP handguns were produced than any other caliber during the 20th Century. If it was the failure some modern gun writers suggest, why was it so incredibly popular?