[Rotator Cuff Rupture: When Is Conservative and When Is Surgical Therapy Indicated?]
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Updated: Jan 27, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Karl Wieser1, Samy Bouaicha1, Florian Grubhofer1
11 Universitätsklinik Balgrist, Zürich.
Abstract:
Rotator Cuff Rupture: When Is Conservative and When Is Surgical Therapy Indicated? Abstract. Patients with rotator cuff tears can be treated conservatively or surgically. The treatment decision depends on the one hand on patient-specific factors like shoulder impairment, age, activity level, functional demand, and on the other hand on morphological or radiological circumstances like tear size, muscle degeneration and fatty infiltration of the rotator cuff muscles. In this review, the treatment approach of our institution is described.
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