Rotator cuff tears are common and are a frequent source of shoulder pain and disability. A wide variation in the prevalence of rotator cuff tears has been reported. The etiology of rotator cuff tear remains multifactorial and attempts to unify intrinsic and extrinsic theories tried to explain the etiopathogenesis of rotator cuff tears. Knowledge of the etiopathogenesis of rotator cuff tears is ...

Background Limited literature exists regarding the influence of rotator cuff tear morphology on patient outcomes. Purpose To determine the effect of rotator cuff tear pattern (crescent, U-shape, L-shape) on patient-reported outcomes after rotator cuff repair. Study Design Cohort study; Level of evidence, 3. Methods Patients undergoing arthroscopic repair of known full-thickness rotator cu...

PURPOSE To assess minimum 2-year clinical outcomes after open revision biologic patch augmentation in patients with massive rotator cuff retears who had deficient rotator cuff tendons with healthy rotator cuff muscles. METHODS Patients with massive posterosuperior rotator cuff retears who underwent open revision rotator cuff repair with patch augmentation were identified from a surgical regis...

An adequate restoration of the muscle-tendon-bone unit is essential for a successful outcome after rotator cuff reconstruction. We describe a suture grasping technique for rotator cuff repair using suture anchors that can be performed either arthroscopically or during open rotator cuff refixation. The technique we use is a combination of a mattress and a single suture, thus representing the pri...

Repair of rotator cuff tears in experimental models has been significantly improved by the use of enhanced biologic approaches, including platelet-rich plasma, bone marrow aspirate, growth factor supplements, and cell- and gene-modified cell therapy. Despite added complexity, cell-based therapies form an important part of enhanced repair, and combinations of carrier vehicles, growth factors, an...

Rotator cuff ruptures are the most common degenerative tendon injury and occur mainly in older patients as multifactorial disorders manifesting the main symptoms of pain and restricted range of motion. Thorough clinical examination of the shoulder includes testing the function of the rotator cuff and leads to a tentative clinical diagnosis that is the prerequisite for diagnostic imaging procedu...

Incomplete healing and/or functional failure following rotator cuff tear repair remains a challenging problem for both patients and surgeons. Augmentation strategies are growing to increase through biologic mechanical mechanisms improve results after arthroscopic repair. The majority of currently described augmentation techniques use allograft tissue. An alternative, low-cost, autograft option ...

BACKGROUND AND PURPOSE Arthroscopic repair of rotator cuff tears can produce excellent results. The application of platelet rich plasma during arthroscopic rotator cuff repair is safe, and produces results which do not deteriorate over time. METHODS A total of 14 patients undergoing arthroscopic repair of a rotator cuff tear received an intra-operative application of autologous platelet rich ...

INTRODUCTION There is a high rate of recurrence of tear and failed healing after rotator cuff repair. Several strategies have proposed to augment rotator cuff repairs to improve postoperative outcome and shoulder performance. We systematically review the literature on clinical outcome following rotator cuff augmentation. SOURCES OF DATA We performed a comprehensive search of Medline, CINAHL, ...

Purpose: Arthroscopic rotator cuff (RC) repair is reported to have a steep learning curve with rapid decrease in rotator cuff repair time (RCRT) during a surgeon’s first 10 cases. Faster surgery may represent learning; however, faster surgery does not represent better surgery. The purpose of this study is to evaluate clinical outcome (rather than RCRT) during the learning phase of arthroscopic ...