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Current Reviews in Musculoskeletal Medicine

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01-03-2018 | Rotator Cuff Repair (M Tao and M Teusink, section editors)

Natural History of Degenerative Rotator Cuff Tears

Authors: Jason L. Codding, Jay D. Keener

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2018

Abstract

Purpose of Review

In the past several years, there have been significant advances in our understanding of the natural history of rotator cuff disease. Studies have continued to provide valuable insight into the clinical, radiographic, and anatomic features of these atraumatic tears. Our purpose is to summarize the findings and contributions from these recent high-quality studies.

Recent Findings

Current research has continued to describe and provide understanding into the natural history of atraumatic rotator cuff disease, including symptom progression, tear enlargement, and the development of arthritis. This knowledge has allowed identification of tears with higher risk of disease progression. Additionally, studies have investigated, with long-term healing data, whether the natural history of degenerative rotator cuff tears can be altered with surgical intervention.

Summary

Recent studies have shown encouraging mid to long-term healing data and clinical outcome scores for smaller tears in younger patients with minimal fatty infiltration. Future research should focus on obtaining long-term healing data, functional outcome data, and refining surgical indications for rotator cuff repair. Identifying patients with specific tear characteristics amendable to healing will allow us to provide a long-term, durable repair, thus interrupting the natural history of degenerative rotator cuff disease.

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Title: Natural History of Degenerative Rotator Cuff Tears
Authors: Jason L. Codding
Jay D. Keener
Publication date: 01-03-2018
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 1/2018
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-018-9461-8

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Natural History of Degenerative Rotator Cuff Tears

Abstract

Purpose of Review

Recent Findings

Summary

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