[Ruptures in the rotator aponeurosis (author's transl)]

Ruptures in the rotator aponeurosis occur frequently. Minor defects are usually not discovered and are classified in the "painful shoulder" syndrome. Depending on the localization and extent, extensive destruction, which occurs suddenly under particular circumstances, leads to various functional disturbances including the so-called pseudoparalysis of the arm. Smaller ruptures generally respond to the usual conservative measures used for the supraspinous syndrome. Surgical treatment of larger ruptures is promising and good results can be achieved with the appropriate technique and adequate follow-up treatment. In the case of extensive defects, they represent the only chance for restoring satisfactory function. Even with long standing, unsuccessful treatment for "periarthritis humeroscapularis", the necessary diagnostic and/or surgical consequences, should be carried out.