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Related Experiment Video

Updated: Apr 30, 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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Rotator cuff tears in the throwing athlete.

Benjamin Shaffer1, Daniel Huttman

  • 1*Department of Orthopaedics, Georgetown University †Department of Orthopaedics, George Washington University Washington, DC.

Sports Medicine and Arthroscopy Review
|May 3, 2014
PubMed
Summary
This summary is machine-generated.

Rotator cuff tears are common in throwing athletes due to repetitive overhead activity. Current treatments focus on debridement over repair, as surgical repair may end an athlete's career.

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Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears
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A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Rotator cuff tears, both partial and full-thickness, are prevalent in throwing athletes.
  • Repetitive overhead activities subject the rotator cuff to immense stress, leading to tensile overload and undersurface fiber failure.
  • Associated pathologies like posterior capsular tightness and internal impingement exacerbate cuff compromise.

Purpose of the Study:

  • To review the current understanding of rotator cuff pathology in throwing athletes.
  • To evaluate the effectiveness of current management strategies, including nonoperative and operative approaches.
  • To discuss the challenges and future directions in treating these athletes.

Main Methods:

  • Review of current literature on rotator cuff tears in throwing athletes.
  • Analysis of advances in diagnostic imaging (MRI, ultrasound, arthroscopy).
  • Evaluation of treatment outcomes for nonoperative management, arthroscopic debridement, and surgical repair.

Main Results:

  • Imaging advances have improved understanding but not treatment outcomes for throwers.
  • Nonoperative management is the primary approach for most throwers.
  • Arthroscopic debridement is effective for refractory symptoms, while repair outcomes in high-level throwers remain suboptimal.
  • Current surgical trends favor debridement over repair to preserve throwing careers.

Conclusions:

  • Management of rotator cuff tears in throwing athletes requires specialized approaches.
  • Debridement is often preferred over repair due to concerns about career longevity.
  • Further research is needed to develop surgical techniques that allow high-level throwers to return to sport after cuff repair.