The rat as a model for biologic rotator cuff treatment interventions

The rat model has been extensively utilized in numerous studies on the rotator cuff. This review analyzes these studies and categorizes their findings into three primary areas: (1) the effects of external interventions on the intact shoulder/supraspinatus tendon, (2) surgical healing under varied conditions, and (3) the combined impact of surgery and external interventions on the biological healing response of the supraspinatus tendon. These studies consistently highlight the Sprague-Dawley rat as a valuable animal model. Several key themes emerge from research on rat shoulders. First, both intrinsic and extrinsic mechanisms contribute to changes in the supraspinatus tendon. Second, many studies report suboptimal tendon-bone healing, emphasizing the need for improved surgical repair techniques. Timely repair of acute tears facilitates smoother surgeries, enhances healing outcomes, and reduces the risk of failure. Additionally, reduced post-surgical activity levels have been associated with superior healing. Finally, ongoing research using this model continues to advance our understanding of the complex rotator cuff healing process.