Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes

J Shoulder Elbow Surg. 2015 Sep;24(9):1493-505. doi: 10.1016/j.jse.2015.04.005. Epub 2015 Jun 28.


Rotator cuff tear size has an important effect on clinical outcomes after repair. Management options for massive rotator cuff tears are numerous, and selection of the most appropriate treatment method for individual patients can be a challenge. An understanding of the pathomechanics, treatment, and clinical outcomes in patients with massive rotator cuff tears can serve as a guide for clinical decision-making. The purpose of this article was to review treatment options and clinical outcomes for the management of massive rotator cuff tears.

Keywords: Rotator cuff; clinical outcomes; massive rotator cuff tears; repair.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Algorithms
  • Biomechanical Phenomena
  • Humans
  • Rotator Cuff / physiopathology*
  • Rotator Cuff / surgery*
  • Rotator Cuff Injuries
  • Tendon Injuries / physiopathology*
  • Tendon Injuries / surgery
  • Tendon Injuries / therapy*
  • Treatment Outcome
  • Wound Healing