[Rotator cuff lesion-Is cuff repair indicated in patients with rheumatic diseases?]

Rheumatic diseases, particularly in the context of rheumatoid arthritis (RA), frequently affect the shoulder joint and lead to lesions of the rotator cuffs, which are associated with chronic pain and restricted movement. Systemic inflammation endangers the integrity of the rotator cuff, while pharmacotherapy can impair tissue repair; however, the function of rotator cuffs is decisive for the selection of diagnostic and therapeutic measures. In cases of failure of conservative treatment surgical reconstruction represents an option in order to relieve pain and restore the biomechanical function. However, the decision for surgical treatment in RA patients is complex due to increased risks of complications, such as delayed healing, infections and re-rupture. This article examines the benefits and probability of success of the surgical reconstruction of rotator cuffs in the context of rheumatic diseases and should form a foundation for making clinical decisions and treatment recommendations.