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Related Experiment Video

Updated: Jan 11, 2026

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

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

Published on: June 6, 2025

Rotator cuff surgery and semantics : definitions matter.

Lars E Adolfsson^1,2, Simon M Lambert³, Hanna C Björnsson Hallgren¹

¹Division of Orthopaedic Surgery Linköping University Hospital, Department of Biomedical and Clinical Sciences, Linkoping University, Linkoping, Sweden.

Bone & Joint Open

|November 16, 2025

Summary

This summary is machine-generated.

Precise terminology for rotator cuff pathology is crucial for accurate diagnosis and treatment. This study proposes using "defect" for degenerative lesions and "tear" for acute injuries, improving clinical clarity and outcome recording.

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Area of Science:

Orthopedics
Pathology
Medical Terminology

Background:

Imprecise pathological diagnostic terms in medicine lead to flawed treatment concepts and outcome recording.
The rotator cuff pathology terminology is often used inaccurately, risking poor clinical condition definition.
Current terms lack precision, impacting patient care and research.

Purpose of the Study:

To explore and clarify common terms used in rotator cuff pathology.
To demonstrate the risks associated with imprecise terminology in rotator cuff conditions.
To propose improved definitions for accurate rotator cuff lesion description.

Main Methods:

Review and analysis of common terms in rotator cuff pathology.
Comparative analysis of 'defect' versus 'tear' for degenerative and acute lesions.
Definition refinement for 'repair' and 'healed' in the context of rotator cuff injuries.

Main Results:

The term 'defect' is suggested for degenerative rotator cuff lesions, distinct from 'tear' (acute injury).
'Repair' should be reserved for acute tears expected to heal.
'Healed' should apply to acute tears with histological evidence of enthesis regeneration.
'Closure' is proposed for degenerative defects lacking true healing capacity.

Conclusions:

Adopting precise terminology like 'defect' and 'tear' enhances the definition of rotator cuff conditions.
Clearer terms improve treatment strategies and outcome assessment for rotator cuff pathology.
Standardized terminology is essential for advancing rotator cuff disease understanding and management.