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Related Experiment Video

Updated: May 10, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
05:25

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

Published on: January 23, 2026

Microfractures at the rotator cuff footprint: a randomised controlled study.

Leonardo Osti1, Angelo Del Buono, Nicola Maffulli

  • 1Unit of Arthroscopy and Sports Trauma Surgery, Hesperia Hospital, Via Arquà 80/b, Modena, Italy, leonardoosti@yahoo.com.

International Orthopaedics
|June 14, 2013
PubMed
Summary
This summary is machine-generated.

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Microfractures at the rotator cuff footprint may improve short-term pain after repair. However, this technique does not show significantly different long-term clinical or imaging outcomes compared to traditional rotator cuff repair.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Regenerative Medicine

Background:

  • Rotator cuff tears are common injuries requiring surgical repair.
  • Enhancing tendon healing at the bone-tendon junction is crucial for successful outcomes.
  • Growth factors released from microfractures may promote tendon healing.

Purpose of the Study:

  • To evaluate the efficacy of microfractures at the footprint in enhancing rotator cuff tendon healing.
  • To compare clinical and functional outcomes of rotator cuff repair with and without microfracture treatment.

Main Methods:

  • A randomized controlled trial involving 57 patients undergoing arthroscopic rotator cuff repair.
  • Patients were divided into two groups: one receiving microfracture at the footprint, the other serving as a control.

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Last Updated: May 10, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
05:25

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Published on: January 23, 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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  • All patients followed the same standardized post-operative rehabilitation protocol.

    • Main Results:

    • Both groups showed significant improvement from baseline at a minimum two-year follow-up.
    • At three months, the microfracture group demonstrated significantly better visual analogue scale (VAS), range of motion (ROM), and University of California at Los Angeles (UCLA) and Constant scores.
    • At the final follow-up (minimum two years), no significant inter-group differences in clinical or functional outcomes were observed.

    Conclusions:

    • Microfractures at the rotator cuff footprint are a safe, simple, and cost-effective adjunct to repair.
    • This technique leads to reduced short-term pain after rotator cuff repair.
    • Microfractures do not provide significant long-term clinical or imaging benefits compared to traditional rotator cuff repair.