Rotator cuff tears (RTCs) are the most common cause of shoulder disability. There has been a proportional increase in the prevalence of RCT in accordance with the rising trend of an ageing population. In this article we review the current literature encompassing RCT epidemiology, risk factors and aetiopathogenesis. We also summarize the current diagnostic modalities, treatment options, rehabilitation and outcomes.
SilversteinBViikari-JunturaE. Use of a prevention index to identify industries at high risk for work-related musculoskeletal disorders of the neck, back, and upper extremity in Washington state, 1990–1998. Am J Ind Med2002; 41: 149–169.
2.
RekolaKEKeinanen-KiukaanniemiS. Use of primary health services in sparsely populated country districts by patients with musculoskeletal symptoms: consultations with a physician. J Epidemiol Community Health1993; 47: 153–157.
3.
HarviePOstlereSJTehJ. Genetic influences in the aetiology of tears of the rotator cuff. Sibling risk of a full-thickness tear. J Bone Joint Surg Br2004; 86: 696–700.
4.
ChakravartyKWebleyM. Shoulder joint movement and its relationship to disability in the elderly. J Rheumatol1993; 20: 1359–1361.
5.
DetermeERongieresMKanyJ. Anatomic study of the tendinous rotator cuff of the shoulder. Surg Radiol Anat1996; 18: 195–200.
6.
SmithJG. Pathological appearances of seven cases of injury of the shoulder joint with remarks. Am J Med Sci1834; 16: 219–224.
7.
MoosmayerSSmithHJTariqR. Prevalence and characteristics of asymptomatic tears of the rotator cuff: an ultrasonographic and clinical study. J Bone Joint Surg Br2009; 91: 196–200.
8.
SchaeffelerCMuellerD. Tears at the rotator cuff footprint: prevalence and imaging characteristics in 305 MR arthrograms of the shoulder. Eur Radiol2011; 21: 1477–1484.
9.
GomollAHKatzJNWarnerJJP. Rotator cuff disorders recognition and management among patients with shoulder pain. Arthritis Rheum2004; 50: 3751–3761.
MallNALeeASChahalJ. An evidenced-based examination of the epidemiology and outcomes of traumatic rotator cuff tears. Arthroscopy2013; 29: 366–376.
12.
YamamotoATakagishiKOsawaT. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg2010; 19: 116–120.
13.
TashjianRZ. Epidemiology, natural history, and indications for treatment of rotator cuff tears. Clin Sports Med2012; 31: 589–604.
14.
BjelleA. Epidemiology of shoulder problems. Baillieres Clin Rheumatol1989; 3: 437–451.
15.
CodmanEA. The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa, Boston: Tomas Todd, 1934, pp. 123–177.
16.
ConnorPMBanksDMTysonAB. Magnetic resonance imaging of the asymptomatic shoulder of over-head athletes: a 5-year follow-up study. Am J Sports Med2003; 31: 724–727.
YamanakaKFukadaHPathologic studies of the supraspinatus tendon with reference to incomplete partial thickness tear. In: TakagishiN (ed). The Shoulder, Tokyo: Professional Postgraduate Services, 1987, pp. 220–224.
19.
FukudaHCraigEVYamanakaK. Surgical treatment of incomplete thickness tears of rotator cuff: long-term follow-up. Orthop Trans1987; 11: 237–238.
20.
LohrJFUhthoffHK. The pathogenesis of degenerative rotator cuff tears [abstract]. Orthop Trans1987; 11: 237.
21.
LehmanCCuomoFKummerFJ. The incidence of full thickness rotator cuff tears in a large cadaveric population. Bull Hosp Jt Dis1995; 54: 30–31.
22.
ReillyPMacleodIMacfarlaneR. Dead men and radiologists don't lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence. Ann R Coll Surg Engl2006; 88: 116–121.
23.
MinagawaHItoiE. Clinical relevance of the rotator cuff in the shoulder with pain and dysfunction [in Japanese]. Kansetsugeka2006; 25: 923–929.
24.
YamaguchiKDitsiosKMiddletonWD. The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg Am2006; 88: 1699–1704.
25.
SherJSUribeJWPosadaA. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am1995; 77: 10–15.
26.
BaumgartenKMGerlackDGalatzLM. Cigarette smoking increases the risk for rotator cuff tears. Clin Orthop Relat Res2010; 468: 1534–1541.
27.
JorgensenLNKallehaveFChristensenE. Less collagen production in smokers. Surgery1998; 123: 450–455.
MoseleyHFGoldieI. The arterial pattern of the rotator cuff of the shoulder. J Bone Joint Surg Br1963; 45: 780–789.
34.
DavisJWArnoldJ. Time course of some effects of cigarette smoking on platelets. J Intern Med1992; 231: 31–36.
35.
JonssonKJensenJAGoodsonWHIII. Tissue oxygenation, anemia, and perfusion in relation to wound healing in surgical patients. Ann Surg1991; 214: 605–613.
36.
AbboudJAKimJS. The effect of hypercholesterolemia on rotator cuff disease. Clin Orthop Relat Res2010; 468: 1493–1497.
37.
BrewerBJ. Aging of the rotator cuff. Am J Sports Med1979; 7: 102–110.
38.
RothmanRHParkeWW. The vascular anatomy of the rotator cuff. Clin Orthop Relat Res1965; 41: 176–186.
39.
Von BahrSMovinTPapadogiannakisN. Mechanism of accumulation of cholesterol and cholestanol in tendons and the role of sterol 27-hydroxylase (CYP27A1). Arterioscler Thromb Vasc Biol2002; 22: 1129–1135.
40.
CrouseJRGrundySMAhrensEH. Cholesterol distribution in the bulk tissues of man: variation with age. J Clin Invest1972; 51: 1292–1296.
41.
RonnemaaTJuvaKKulonenE. Effect of hyperlipidemic rat serum on the synthesis of collagen by chick embryo fibroblasts. Atherosclerosis1975; 21: 315–324.
42.
BeasonDPTuckerJJLeeCS. Rat rotator cuff tendon-to-bone healing properties are adversely affected by hypercholesterolemia. J Shoulder Elbow Surg2014; 23: 867–872.
43.
ReiserKM. Non enzymatic glycation of collagen in aging and diabetes. Proc Soc Exp Biol Med1998; 218: 23–37.
44.
IppolitoENataliPGPostacchiniF. Morphological, immunochemical, and biochemical study of rabbit achilles tendon at various ages. J Bone Joint Surg Am1980; 62: 583–598.
45.
AbateMSchiavoneCSaliniV. Sonographic evaluation of the shoulder in asymptomatic elderly subjects with diabetes. BMC Musculoskelet Disord2010; 11: 278.
46.
GwilymSEWatkinsBCooperCD. Genetic influences in the progression of tears of the rotator cuff. J Bone Joint Surg Br2009; 91: 915–917.
47.
ViaAGDe CupisMSpolitiM. Clinical and biological aspects of rotator cuff tears. Muscles Ligaments Tendons J2013; 3: 70–79.
48.
NeerCS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am1972; 5: 441–450.
49.
McMasterWTroupT. A survey of interfering shoulder pain in United States competitive swimmers. Am J Sports Med1993; 21: 67–70.
50.
SoslowskyLJThomopoulosSEsmailA. Rotator cuff tendinosis in an animal model: role of extrinsic and overuse factors. Ann Biomed Eng2002; 30: 1057–1063.
51.
BudoffEFRodinDOchiaiD. Arthroscopic rotator cuff debridement without decompression for the treatment of tendinosis. Arthroscopy2005; 21: 1081–1089.
52.
SanoHIshiiHTrudelG. Histologic evidence of degeneration at the insertion of 3 rotator cuff tendons: a comparative study with human cadaveric shoulders. J Shoulder Elbow Surg1999; 8: 574–579.
53.
HashimotoTNobuharaKHamadaT. Pathologic evidence of degeneration as a primary cause of rotator cuff tear. Clin Orthop Relat Res2003; 415: 111–120.
54.
RileyGPCurryVDeGrootJ. Matrix metalloproteinase activities and their relationship with collagen remodelling in tendon pathology. Matrix Biol2002; 21: 185–195.
55.
ChoiHRKondoSHiroseK. Expression and enzymatic activity of MMP-2 during healing process of the acute supra-supinatus tendon tear in rabbits. J Orthop Res2002; 20: 927–933.
LohrJFUhthoffHK. The microvascular pattern of the supraspinatus tendon. Clin Orthop1990; 254: 35–38.
59.
BrooksCHRevellWJHeatleyFW. A quantitative histological study of the vascularity of the rotator cuff tendon. J Bone Joint Surg Br1992; 74: 151–153.
60.
GoodmurphyCWOsbornJAkessonEJ. An immunocytochemical analysis of torn rotator cuff tendon taken at the time of repair. J Shoulder Elbow Surg2003; 12: 368–374.
61.
HermansJLuimeJMueffelsDE. Does this patient with shoulder pain have rotator cuff disease? The rational clinical examination systematic review. JAMA2013; 310: 837–847.
62.
TennentTDBeachWRMeyersJF. A review of the special tests associated with shoulder examination. Am J Sports Med2003; 30: 154–160.
63.
JainNBWilcoxRBIIIKatzJN. Clinical examination of the rotator cuff. Am Acad Phys Med Rehabil2013; 5: 45–56.
64.
WalchGBoulahiaACalderoneS. The ‘dropping’ and ‘hornblower's’ signs in evaluation of rotator-cuff tears. J Bone Joint Surg1998; 80: 624–628.
65.
GazollaSBleakneyR. Current imaging of the rotator cuff. Sports Med Arthrscop Rev2011; 19: 300–309.
66.
ResnickD. Shoulder pain. Orthop Clin North Am1983; 14: 81–97.
67.
CodmanE. The shoulder, Boston, MA: Thomas Todd, 1934, pp. 123–177.
68.
MiddletonWDPayneWTTeefeySA. Sonography and MRI of the shoulder: comparison of patient satisfaction. Am J Roentgenol2004; 183: 1449–1452.
69.
DussikKTFritchDJKyriazidouM. Measurements of articular tissues with ultrasound. Am J Phys Med1958; 37: 160–165.
70.
SmithTOBackTTomsAP. Diagnostic accuracy of rotator cuff tears in adults: a systematic review and meta-analysis. Clin Radiol2011; 66: 1036–1048.
71.
MoragYJacobsonJAMillerB. MR imaging of rotator cuff injury: what the clinician needs to know. Radiographics2006; 26: 1045–1065.
72.
BalichSMSheleyRCBrownTR. MR imaging of the rotator cuff tendon: interobserver agreement and analysis of interpretive errors. Radiology1997; 204: 191–194.
73.
RafiiMFiroozniaHShermanO. Rotator cuff lesions: signal patterns at MR imaging. Radiology1990; 177: 817–823.
74.
RobertsonPLSchweitzerMEMitchellDG. Rotator cuff disorders: interobserver and intraobserver variation in diagnosis with MR imaging. Radiology1995; 194: 831–835.
75.
WrightTYoonCSchmitBP. Shoulder MRI refinements: differentiation of rotator cuff tear from artifacts and tendonosis, and reassessment of normal findings. Semin Ultrasound CT MR2001; 22: 383–395. .
76.
RafiiMFiroozniaHShermanO. Rotator cuff lesions: signal patterns at MR imaging. Radiology1990; 177: 817–823.
77.
DwyerRazmjouHHenryP. Association between preoperative magnetic resonance imaging and reparability of large and massive rotator cuff tears. Knee Surg Sports Traumatol2015; 23: 415–422.
78.
LenzaMBuchbinderRTakwoingiY. Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain in whom surgery is being considered (Review). Cochrane Database Syst Rev2013, pp. 9: 1–2, .
79.
NaqviGAJadaanMHarringtonP. Accuracy of ultrasonography and magnetic resonance imaging for detection of full thickness rotator cuff tears. Int J Shoulder Surg2009; 3: 94–97.
80.
SteinbachLS. MRI of shoulder instability. Eur J Radiol2008; 68: 57–71.
81.
LecouvetFESimoniPKoutaissoffS. Multidetector spiral CT arthrography of the shoulder. Clinical applications and limits, with MR arthrography and arthroscopic correlations. Eur J Radiol2008; 68: 120–136.
82.
OmoumiPBafortACDubucJE. Evaluation of rotator cuff tendon tears: comparison of multidetector CT arthrography and 1.5-T MR arthrography. Radiology2012; 264: 812–822.
83.
RuttenMJJagerGJBlickmanJG. From the RSNA refresher courses: US of the rotator cuff: pitfalls, limitations, and artifacts. Radiographics2006; 26: 589–604.
84.
CoghlanJABuchbinderRGreenS. Surgery for rotator cuff disease. Cochrane Database Syst Rev2008, pp. 1: 1–4.
85.
BianchiSMartinoliCAbdelwahabIF. Ultrasound of tendon tears. Part 1: general considerations and upper extremity. Skeletal Radiol2005; 34: 500–512.
86.
BryantLShnierRBryantC. A comparison of clinical estimation, ultrasonography, magnetic resonance imaging, and arthroscopy in determining the size of rotator cuff tears. J Shoulder Elbow Surg2002; 11: 219–224.
87.
FotiadouANVlychouMPapadopoulosP. Ultrasonography of symptomatic rotator cuff tears compared with MR imaging and surgery. Eur J Radiol2008; 68: 174–179.
88.
PegreffiFPaladiniPCampiF. Conservative management of rotator cuff tear. Sports Med Arthrosc Rev2011; 19: 348–353.
89.
ReesJL. The pathogenesis and surgical treatment of tears of the rotator cuff. J Bone Joint Surg Br Vol2008; 90: 827–832.
90.
FukudaH. The management of partial-thickness tears of the rotator cuff. J Bone Joint Surg Br Vol2003; 85: 3–11.
FukudaHHamadaKNakajimaT. Partial-thickness tears of the rotator cuff. A clinicopathological review based on 66 surgically verified cases. Int Orthopaed1996; 20: 257–265.
AbramsJSSavoieFHIII. Arthroscopic rotator cuff repair: is it the new gold standard?72nd annual meeting proceedings, Rosemont, IL: American Academy of Orthopaedic Surgeons, 2005, pp. 71.
95.
DunnWRSchackmanBRWalshC. Variation in orthopaedic surgeons' perceptions about the indications for rotator cuff surgery. J Bone Joint Surg Am2005; 87: 1978–1984.
96.
ColvinACEgorovaNHarrisonAK. National trends in rotator cuff repair. J Bone Joint Surg Am2012; 94: 227–233.
PapaliaRFranceschi Del BuonoAMaffuliN. Results of surgical management of symptomatic shoulders with partial tears of the rotator cuff. Br Med Bull2011; 99: 141–154.
99.
EidASDwyerAJChamblerAF. Mid term results of arthroscopic decompression in patients with or without partial thickness rotator cuff tears. Int J Shoulder Surg2012; 6: 86–89.
100.
Chahal J, Mall N, MacDonald P. The role of subacromial decompression in patients undergoing arthroscopic repair of full thickness tears of the rotator cuff: a systematic review and meta-analysis. Arthroscopy2012; 8: 720–727. .
101.
EllmanH. Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res1990; 254: 64–74. .
102.
EllmanHKaySP. Arthroscopic subacromial decompression for chronic impingement. Two- to five-year results. J Bone Joint Surg Br1991; 73: 395–398.
103.
DuraldeXAMcClellandWBJr. The clinical results of arthroscopic transtendinous repair of grade III partial articular-sided supraspinatus tendon tears. Arthroscopy2012; 28: 160–168.
104.
FranceschiFPapaliaRDel BuonoA. Repair of partial tears of the rotator cuff. Sports Med Arthrosc2011; 19: 401–408.
105.
ShinSJ. A comparison of 2 repair techniques for partial-thickness articular-sided rotator cuff tears. Arthroscopy2012; 28: 25–33.
106.
StraussEJSalataMJKercherJ. Multimedia article. The arthroscopic management of partial-thickness rotator cuff tears: a systematic review of the literature. Arthroscopy2011; 27(4): 568–580.
107.
DugasJRCampbellDAWarrenRF. Anatomy and dimensions of rotator cuff insertions. J Shoulder Elbow Surg2002; 11: 498–503.
108.
MochizukiTSugayaHUomizuM. Humeral insertion of the supraspinatus and infraspinatus. New anatomical findings regarding the footprint of the rotator cuff. J Bone Joint Surg Am2008; 90: 962–969.
109.
GoutallierDPostelJMBernageauJ. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res1994; 304: 78–83.
LorbachOBachelierFVeesJ. Cyclic loading of rotator cuff reconstructions: repair. Am J Sports Med2008; 36: 1504–1510.
113.
LorbachOKiebMRaberF. Comparable biomechanical results for a modified single-row rotator cuff reconstruction using triple-loaded suture anchors versus a suture-bridging double-row repair. Arthroscopy2012; 28: 178–187.
114.
MaCBComerfordLWilsonJ. Biomechanical evaluation of arthroscopic rotator cuff repairs: double-row compared with single-row fixation. J Bone Joint Surg Am2006; 88: 403–410.
115.
BurkhartSSDanaceauSMPearceCEJr. Arthroscopic rotator cuff repair: analysis of results by tear size and by repair techniqued margin convergence versus direct tendon-to-bone repair. Arthroscopy2001; 17: 905–912.
116.
EssmanJABellRHAskewM. Full-thickness rotator-cuff tear. An analysis of results. Clin Orthop Relat Res1991265, 170–177. .
117.
MeierSWMeierJD. Rotator cuff repair: the effect of double-row fixation on three dimensional repair site. J Shoulder Elbow Surg2006; 15: 691–696.
118.
DeHaanAMAxelradTWKayeE. Does double-row rotator cuff repair improve functional outcome of patients compared with single-row technique? A systematic review. Am J Sports Med2012; 40: 1176–1185.
119.
DuquinTRBuyeaCBissonLJ. Which method of rotator cuff repair leads to the highest rate of structural healing? A systematic review. Am J Sports Med2010; 38: 835–841.
120.
SaridakisPJonesG. Outcomes of single-row and double-row arthroscopic rotatorcuff repair: a systematic review. J Bone Joint Surg Am2010; 92: 732–734.
121.
MaHLChiangERWuHT. Clinical outcome and imaging of arthroscopic single-row and double-row rotator cuff repair: a prospective randomized trial. Arthroscopy2012; 28: 16–24.
122.
CharoussetCGrimbergJDuranthonLD. Can a double-row anchorage technique improve tendon healing in arthroscopic rotator cuff repair? A prospective, nonrandomized, comparative study of double-row and single-row anchorage techniques with computed tomographic arthrography tendon healing assessment. Am J Sports Med2007; 35: 1247–1253.
123.
ArceGBakKBainG. Management of disorders of the rotator cuff: proceedings of the ISAKOS upper extremity consensus meeting. Arthroscopy2013; 29: 1840–1850.
124.
Sheibani-RadSGiveansMRArnoczkySP. Arthroscopic single row versus double-row rotator cuff repair: a meta-analysis of the randomized clinical trials. Arthroscopy2013; 29: 343–348.
125.
XuZZhaoJLiD. Meta-analysis comparing single-row and double-row repair techniques in the arthroscopic treatment of rotator cuff tears. J Shoulder Elbow Surg2014; 23: 182–188.
126.
ChenMXuWDongQ. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: a systematic review and meta-analysis of current evidence. Arthroscopy2013; 29: 1437–1449.
127.
PrasathapornNKuptniratsaikulSKongrukgreatiyosK. Single-row repair versus double-row repair of full thickness rotator cuff tears. Arthroscopy2011; 27: 978–985.
128.
LoIKBurkhartSS. Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy2003; 19: 1035–1042.
129.
BaumsMHSpahnGSteckelH. Comparative evaluation of the tendon–bone interface contact pressure in different single- versus double-row suture anchor repair techniques. Knee Surg Sports Traumatol Arthrosc2009; 17: 1466–1472.
ParkMCTiboneJEElAttracheNS. Part II: biomechanical assessment for a footprint-restoring transosseous equivalent rotator cuff repair technique compared with a double-row repair technique. J Shoulder Elbow Surg2007; 16: 469–476.
132.
ParkMCElAttracheNSTiboneJE. Part I: footprint contact characteristics for a transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique. J Shoulder Elbow Surg2007; 16: 461–468.
133.
GartsmanGMDrakeGEdwardsTB. Ultrasound evaluation of arthroscopic full-thickness supreaspinatus rotator cuff repair: single-row versus double-row suture bridge (transosseous equivalent) fixation. Results of a prospective, randomized study. J Shoulder Elbow Surg2013; 22: 1480–1487.
134.
ParkJRLeeSYChungSW. Clinical comparison between double-row and transosseous-equivalent repairs for medium to large size rotator cuff tears. Arch Orthop Trauma Surg2013; 122: 1727–1734.
135.
MallNALeeASChahalJ. Transosseous-equivalent rotator cuff repair: a systematic review on the biomechanical importance of tying the medial row. Arthroscopy2013; 29: 377–386.
136.
BediADinesJWarrenR. Massive tears of the rotator cuff. J Bone Joint Surg Am2010; 92: 1894–1908.
137.
WalchGEdwardsTBBoulahiaA. Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: clinical and radiographic results of 307 cases. J Shoulder Elbow Surg2005; 14: 238–246.
BurkhartSSAthanasiouKAWirthMA. Margin convergence: a method of reducing strain in massive rotator cuff tears. Arthroscopy1996; 12: 335–338.
140.
KimSJLeeISKimSH. Arthroscopic partial repair of irrepairable large to massive rotator cuff tears. Arthroscopy2012; 28: 761–768.
141.
GaziellyDFGleyzePMontagnonC. Functional and anatomical results after rotator cuff repair. Clin Orthop Relat Res1994; 304: 43–53.
142.
HarrymanDT2ndMackLAWangKY. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am1991; 73: 982–989.
143.
GerberCFuchsBHodlerJ. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am2000; 82: 505–515.
144.
ZumsteinMAJostBHempelJ. The clinical and structural long-term results of open repair of massive tears of the rotator cuff. J Bone Joint Surg Am2008; 90: 2423–2431.
145.
WilliamsGRJrRockwoodCAJrBiglianiLU. Rotator cuff tears: why do we repair them?J Bone Joint Surg Am2004; 86: 2764–2776.
146.
GalatzLMBallCMTeefeySA. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am2004; 86: 219–224.
147.
IaguilliNDFieldLDHobgoodER. Comparison of partial versus complete arthroscopic repair of massive rotator cuff tears. Am J Sports Med2012; 40: 1022–1026.
148.
DelaneyRALinAWarnerJJ. Nonarthroplasty options for the management of massive and irreparable rotator cuff tears. Clin Sports Med2012; 31: 727–748.
149.
OmidRLeeB. Tendon transfers for the irreparable rotator cuff tears. J Am Acad Orthop Surg2013; 21: 492–501.
150.
GerberCRahmSACatanzaroS. Latissimus dorsi tendon transfer for treatment of irreparable posterosuperior rotator cuff tears: long term results at a minimum of follow-up of ten years. J Bone Joint Surg Am2013; 95: 1920–1926.
151.
NamdariSVoletiPBaldwinK. Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a systematic review. J Bone Joint Surg Am2012; 94: 891–898.
152.
WirthMARockwoodCAJr. Operative treatment of irreparable rupture of the subscapularis. J Bone Joint Surg Am1997; 79: 722–731.
153.
ReschHPovaczPRitterE. Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon. J Bone Joint Surg Am2000; 82: 372–382.
154.
JostBPuskasGJLustenbergerA. Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. J Bone Joint Surg Am2003; 85: 1944–1951.
155.
ElhassanBOzbaydarMMassiminiD. Transfer of pectoralis major for the treatment of irreparable tears of subscapularis: does it work?J Bone Joint Surg Br2008; 90: 1059–1065.
156.
AccoustiKJFlatowEL. Technical pearls on how to maximize healing of the rotator cuff. Instr Course Lect2007; 56: 3–12.
157.
SonnabendDHWatsonEM. Structural factors affecting the outcome of rotator cuff repair. J Shoulder Elbow Surg2002; 11: 212–218.
158.
ContiMGarofaloRRoseG. Post-operative rehabilitation after surgical repair of the rotator cuff. Musculoskelet Surg2009; 93: 55–63.
159.
MillettPJWilcozRC3rdO'HolleranJD. Rehabilitation of the rotator cuff: an evaluation-based approach. J Am Acad Orthop Surg2006; 14: 599–560.
160.
DüzgünIBaltacıGAtayOA. Comparison of slow and accelerated rehabilitation protocol after arthroscopic rotator cuff repair: pain and functional activity. Acta Orthop Traumatol Turc2011; 45: 22–33.
161.
KooSSParsleyBKBurkartSS. Reduction of postoperative stiffness after arthroscopic rotator cuff repair: results of a customized physical therapy regimen based on risk factors for stiffness. Arthroscopy2011; 27: 155–160.
162.
CuffDJPupelloDR. Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol. J Shoulder Elbow Surg2012; 21: 1450–1455.
163.
HeerspinkFDorrestijnOvan RaayJ. Specific patient-related prognostic factors for rotator cuff repair: a systematic review. J Shoulder Elbow Surg2014; 23: 1073–1080.