PURPOSE The purpose of this report is to describe a new full-thickness tear pattern of the posterosuperior rotator cuff with reversal healing. We describe the specific radiologic signs associated with this tear pattern and the arthroscopic rotator cuff repair technique. MATERIALS AND METHODS A prospective radiologic and clinical study collected all patients with a magnetic resonance imaging a...

INTRODUCTION: Shoulder motion following rotator cuff repair is unavoidable and may results in changes in tension on the repair and changes in compression forces at the rotator cuff footprint. We set out to determine how tension within the rotator cuff tendons and motion of the shoulder affect the footprint compression forces of a rotator cuff repair using multiple repair techniques. Ultimately,...

CONTEXT Double-row rotator cuff repair methods have improved biomechanical performance when compared with single-row repairs. OBJECTIVE To review clinical outcomes of single-row versus double-row rotator cuff repair with the hypothesis that double-row rotator cuff repair will result in better clinical and radiographic outcomes. DATA SOURCES Published literature from January 1980 to April 20...

BACKGROUND Although many studies involving rotator cuff repair fixation have focused on ultimate fixation strength and ability to restore the tendon's native footprint, no studies have characterized the stability of the repair with regard to motion between the tendon and repair site footprint. HYPOTHESIS Suture anchor fixation for rotator cuff repair has greater interface motion between tendo...

BACKGROUND Although rotator cuff disease is a common musculoskeletal problem in the United States, the impact of this condition on earnings, missed workdays, and disability payments is largely unknown. This study examines the value of surgical treatment for full-thickness rotator cuff tears from a societal perspective. METHODS A Markov decision model was constructed to estimate lifetime direc...

Acromioplasty is a well-described technique used throughout the wide spectrum of treatment options for shoulder impingement and rotator cuff pathology. Several randomized prospective studies have described clinical outcomes that are statistically similar when comparing patients undergoing rotator cuff repair either with or without concomitant acromioplasty. This article reviews the current evid...

BACKGROUND/PURPOSE Little has been mentioned about the treatment of rotator cuff tears and associated shoulder stiffness. We prospectively treated a series of patients with rotator cuff tears associated with shoulder stiffness concomitantly and reported the outcomes. METHODS A combined procedure of manipulation, lysis of adhesions, anterior acromioplasty and repair of rotator cuff was perform...

INTRODUCTION: Rotator cuff tear is one of the common shoulder disorders and surgical repair is very effective for the improvement of shoulder functions. Current surgical technique for rotator cuff tear is an arthroscopical repair or a mini-open repair. Selection of surgical technique should be determined by the appropriate patient’s selection based on the pathology of the rotator cuff tear. Mag...

The tissue-suture interface is the most vulnerable and challenging part of adequate restoration and fixation in rotator cuff repair. We describe a simple stitch technique for arthroscopic rotator cuff repair using knotless suture anchors based on the cow hitch. The simple cow hitch stitch technique is easy to perform, especially under difficult conditions, and provides excellent initial fixatio...

INTRODUCTION Rotator cuff tears are a common cause of shoulder disability and pain. Excellent outcomes can be obtained with surgical treatment although this outcome is affected by several factors. We sought to investigate the effect of hand dominance on subjective functional outcome post rotator cuff repair. METHODS All patients who had rotator cuff repair over a calendar year were identified...