Arthroscopic Debridement for Irreparable Rotator Cuff Tears

BACKGROUND Arthroscopic debridement represents a salvage procedure for irreparable rotator cuff tears. It is important to accurately diagnose the patient for irreparable rotator cuff tears. The diagnosis and the therapeutic options must be explained to the patient. It is mandatory that the patient understands the primary goal of the arthroscopic debridement being reduction of pain, not improving strength or function. METHODS The procedure consists of 7 distinct steps to debride the soft tissues and alleviate pain. RESULTS Even though there is a lack of evidence that this procedure is superior to other therapeutic options, it has shown good results in patients with the main complaint of pain. CONCLUSION The results reported in some studies should, however, be interpreted with caution, taking into consideration the substantial structural damage in irreparable defects.