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Updated: May 30, 2026

Development of a Rabbit Chronic-Like Rotator Cuff Injury Model for Study of Fibrosis and Muscular Fatty Degeneration
Published on: March 31, 2023
Role of growth factors in rotator cuff healing
Francesco Oliva1, Alessio Giai Via, Nicola Maffulli
1Department of Orthopaedics and Traumatology, University of Rome Tor Vergata School of Medicine, Rome, Italy.
Abstract:
The histologic lesion underlying overuse rotator cuff tendinopathy is a failed healing response, with haphazard proliferation of tenocytes, disruption of tendon cells and collagen fibers, and increased noncollagenous extracellular matrix. Recent attention has focused on the biological pathways by which tendons heal, leading to the identification of several growth factors (GFs) involved in this process. No studies have been published on the time course of the various GFs during rotator cuff healing process in vivo, in humans. We review what is known about these GFs and their role in rotator cuff healing.
Insights
Rotator cuff tendinopathy involves failed healing. This review examines growth factors (GFs) crucial for tendon repair, highlighting a gap in understanding their timeline during human healing.
Area of Science:
- Orthopedics
- Sports Medicine
- Regenerative Medicine
Background:
- Rotator cuff tendinopathy is characterized by a failed healing response at the histologic level.
- This includes disorganized tenocyte proliferation, disrupted collagen, and increased extracellular matrix.
- Recent research highlights the role of growth factors (GFs) in tendon healing.
Purpose of the Study:
- To review the current knowledge of growth factors (GFs) involved in rotator cuff healing.
- To identify the time course of various GFs during the in vivo human rotator cuff healing process.
Main Methods:
- Literature review of studies on growth factors and rotator cuff healing.
- Analysis of existing research on the biological pathways of tendon repair.
Main Results:
- The review synthesizes information on GFs implicated in tendon healing.
- A significant gap exists regarding the specific time course of these GFs in human rotator cuff healing in vivo.
Conclusions:
- Understanding the temporal dynamics of GFs is critical for developing effective therapeutic strategies for rotator cuff tendinopathy.
- Further research is needed to elucidate the precise time course of GFs during human rotator cuff healing.
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