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Factors Influencing the Reparability and Healing Rates of Rotator Cuff Tears

  • Surgical Management of Massive Irreparable Cuff Tears (J Sanchez-Sotelo, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of the Review

To discuss tear- and patient-related factors that influence the healing potential of rotator cuff tears and to clarify the terminology surrounding this topic.

Recent Findings

Over the last few years, further insight has been gained regarding rotator cuff tear features that are associated with poor healing rates after rotator cuff repair. Some of these features have been incorporated in prediction models developed to accurately predict rotator cuff healing rates utilizing preoperative risk factors weighted by importance.

Summary

Rotator cuff tears may be considered functionally irreparable based on their size, chronicity, absence of adequate tendon length, atrophy, and fatty infiltration. Furthermore, advanced age, use of tobacco products, diabetes, and other patient-related factors may impair tendon healing. Careful analysis and discussion of all these factors with patients is essential to determine if surgical repair of a rotator cuff tear should be recommended, or if it is best to proceed with one of the several salvage procedures reviewed in this topical collection, including augmentation of the repair, superior capsular reconstruction, tendon transfers, and other.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of California, Los Angeles, CA, 90403, USA

    Andrew R. Jensen

  2. Department of Orthopedic Surgery, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA

    Adam J. Taylor

  3. Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, 90502, USA

    Joaquin Sanchez-Sotelo

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Andrew Jensen and Adam Taylor declare that they have no conflicts of interest. Joaquin Sanchez-Sotelo reports receiving research grants and royalties from Stryker, consulting fees from Wright Medical and Exactech, speaking engagement fees from Wright Medical and Acumed, publication royalties from Elsevier and Oxford University Press, and is a board member for ASES and an associate editor for JSES JOT and JSEA.

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This article is part of the Topical Collection on Surgical Management of Massive Irreparable Cuff Tears

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Jensen, A.R., Taylor, A.J. & Sanchez-Sotelo, J. Factors Influencing the Reparability and Healing Rates of Rotator Cuff Tears. Curr Rev Musculoskelet Med 13, 572–583 (2020). https://doi.org/10.1007/s12178-020-09660-w

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