Current Understanding and New Advances in the Surgical Management of Reparable Rotator Cuff Tears: A Scoping Review

Abstract

Rotator cuff (RC) tears are among the most common musculoskeletal disorders and can be associated with pain, weakness, and shoulder dysfunction. In recent years, there have been significant advances with regard to the understanding of rotator cuff disease and its management. With technological improvements and advanced diagnostic modalities, there has been much progress as to improved understanding of the pathology. Similarly, with advanced implant designs and instrumentation, operative techniques have evolved. Furthermore, refinements in postoperative rehabilitation protocols have improved patient outcomes. In this scoping review, we aim to provide an overview of the current knowledge on the treatment of rotator cuff disorders and to highlight recent advances in its management.

Understanding Fibrous Tissue in the Effective Healing of Rotator Cuff Injury

“…Rotator cuff tendinitis, marked by tendon inflammation, commonly arises from overuse, repetitive arm motions, or the natural ageing process [ 6 ]. Rotator cuff tears, whether partial or complete, result from acute injuries or degenerative changes [ 7 ]. Impingement syndrome, characterized by the pinching of rotator cuff tendons between the acromion and humeral head, induces pain and restricts movement [ 8 ].…”

Total Healing of a Partial Rupture of the Supraspinatus Tendon Using Barbotage Technique Associated with Platelet-Rich Plasma: A Randomized, Controlled, and Double-Blind Clinical Trial

“…With technological improvements and advanced diagnostic modalities, there has been much progress as to improving our understanding of the pathophysiology of rotator cuff (RC) rupture [1] and enriching the contributions of Codman [2] and Neer [3,4], who described the evolution of an initial tendinopathy with edema, which can result and then progress to a complete rupture of the tendon. With time, the initial inflammation gives way to fibrosis and partial rupture of the tendon thickness to finally produce the total rupture of the tendon.…”