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Related Experiment Video

Updated: May 28, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft

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Treating the torn rotator cuff: current practice in the UK.

P M Robinson1, H A Doll, B R Roy

  • 1Department of Orthopaedics, Peterborough City Hospital, Bretton Gate, Peterborough PE3 9GZ, UK. paulrobinson79@doctors.org.uk

Annals of the Royal College of Surgeons of England
|October 19, 2011
PubMed
Summary
This summary is machine-generated.

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This study surveyed UK surgeons on rotator cuff repair practices, finding arthroscopic repair is favored, especially by high-volume surgeons who report better outcomes for elderly patients. Current practices reflect conflicting evidence on rotator cuff tear management.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Research

Background:

  • Rotator cuff tears are common, particularly in the elderly.
  • Management strategies for rotator cuff tears vary significantly.
  • Understanding current UK surgical practices is crucial for improving patient care.

Purpose of the Study:

  • To characterize current rotator cuff repair activities in the UK.
  • To focus on the management of rotator cuff tears in patients over 70.
  • To identify trends in surgical techniques and outcomes.

Main Methods:

  • A web-based survey was distributed to British Elbow and Shoulder Society (BESS) members and relevant specialists.
  • 103 surgeons completed the survey, providing data on their practice experience and rotator cuff repair methods.

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  • Data analysis focused on preferred repair techniques (arthroscopic vs. open) and management of tears in elderly patients.

    • Main Results:

    • Arthroscopic repair was the favored method for rotator cuff repair among surveyed surgeons (46.5%).
    • Surgeons with more experience performed fewer arthroscopic repairs and more open/mini-open repairs.
    • For full-thickness tears in patients over 70, 42.6% favored arthroscopic repair, 26.7% open/mini-open, and 21.8% would not attempt repair.

    Conclusions:

    • Higher annual volumes of arthroscopic rotator cuff repairs correlate with increased likelihood of repair and predicted better outcomes.
    • Surgeons' experience influences their choice between arthroscopic and open repair techniques.
    • Current practices highlight the ongoing debate and conflicting evidence in rotator cuff disease treatment.