Introduction Despite improvements in surgical techniques, biomechanical constructs, and implants, a proportion of patients still experience the sequelae (chronic shoulder pain and dysfunction) of a nonhealed rotator cuff. Tendon healing typically comprises four components: progenitor cells, growth factors, scaffold, and…
Introduction Symptomatic large and massive rotator cuff tears are common with advancing age. Among those who undergo rotator cuff repair surgery, reasonable clinical outcomes have been reported in the majority of patients; however, complete tendon-to-bone healing is uncommon, with retear…
Introduction Rotator cuff tears are common causes of shoulder complaints. Arthroscopic rotator cuff repair is an established treatment modality for rotator cuff tears with successful clinical outcomes. Improved repair techniques have been developed to maintain the integrity between the footprint…
Introduction With advances in arthroscopic surgery, several techniques have been developed to increase the tendon–bone contact area, reconstituting a more anatomic configuration of the rotator cuff footprint and providing a better environment for tendon healing. On the basis of magnetic…
Introduction Rotator cuff tears are among the most common disorders affecting the upper extremity, particularly in patients over age 50. They may manifest with pain, weakness, or disability and can be extremely debilitating in active individuals. The goals of treatment…
Introduction Although arthroscopic rotator cuff repair has largely replaced traditional open surgery for the treatment of a symptomatic full-thickness rotator cuff tear, the optimal repair technique is still a matter of debate. Although the modern double-row repair techniques have been…
Introduction Partial-thickness rotator cuff tears (PASTA) are reported to be a common disorder of the shoulder. Improvements in imaging such as magnetic resonance imaging (MRI) and arthroscopic procedures have allowed more accurate characterization of partial rotator cuff tears. In recent…
A. Evaluation and Management of Calcific Tendinopathy Nicola Maffulli Francesco Oliva Alessio Giai Via Introduction Rotator cuff calcific tendinopathy (RCCT) is a common cause of nontraumatic shoulder pain, characterized by calcium deposits in the substance of the tendon, first described by Painter in…
Introduction Rotator cuff tears are classically described as crescent-shaped, U-shaped, L-shaped, reverse L-shaped, and massive contracted immobile tears. Tear pattern recognition is critical to ensuring anatomic repair of the rotator cuff, restoring and balancing the force couples about the shoulder,…
Introduction Arthroscopic rotator cuff repair has advanced over the last 10 years, and many of the advancements are the result of continued product development and refinement in technique. However, multiple different techniques and instruments that can lead to the achievement…