Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 23, Issue 2, pp 344–362 | Cite as

History of rotator cuff surgery

  • Pietro Randelli
  • Davide Cucchi
  • Vincenza Ragone
  • Laura de Girolamo
  • Paolo Cabitza
  • Mario Randelli
Shoulder
First Online:
Received:
Accepted:

Abstract

Purpose

Rotator cuff surgery is a rapidly evolving branch in orthopaedics, which has raised from a minor niche to a fully recognized subspecialty. This article summarizes its history, examining the development of its key principles and the technical advancements.

Methods

Literature was thoroughly searched, and few senior surgeons were interviewed in order to identify the significant steps in the evolution of rotator cuff surgery.

Results

A wide variety of surgical options is available to reduce pain and restore function after rotator cuff tears. Rotator cuff repair surgical techniques evolved from open to arthroscopic and are still in development, with new fixation techniques and biological solutions to enhance tendon healing being proposed, tested in laboratory and in clinical trials. Although good or excellent results are often obtained, there is little evidence that the results of rotator cuff repair are improving with the decades. An overall high re-tear rate remains, but patients with failed rotator cuff repairs can experience outcomes comparable with those after successful repairs.

Conclusions

Rotator cuff repair techniques evolve at a fast pace, with new solutions often being used without solid clinical evidence of superiority. It is necessary to conduct high-level clinical studies, in which data relating to anatomical integrity, patient self-assessed comfort and function, together with precise description of patient’s condition and surgical technique, are collected.

Level of evidence

IV.

Keywords

Rotator cuff Shoulder Arthroscopic rotator cuff repair Open rotator cuff repair History of surgery 
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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014

Authors and Affiliations

  • Pietro Randelli
    • 1
    • 2
  • Davide Cucchi
    • 1
    • 2
  • Vincenza Ragone
    • 1
    • 2
  • Laura de Girolamo
    • 3
  • Paolo Cabitza
    • 1
    • 2
  • Mario Randelli
    • 4
  1. 1.Dipartimento di Scienze Biomediche per la SaluteUniversità degli Studi di MilanoMilanItaly
  2. 2.IRCCS Policlinico San DonatoSan Donato MilaneseItaly
  3. 3.Laboratorio di Biotecnologie applicate all’OrtopediaIRCCS Istituto Ortopedico GaleazziMilanItaly
  4. 4.IRCCS Istituto Clinico HumanitasRozzanoItaly

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