Rotator Cuff Repair (Open/Arthroscopic)

  • Roger Hackney


  • Open versus arthroscopic repair.

  • Open repair involves disrupting the deltoid muscle. Repair is via per-osseous sutures to a bony trough.

  • Arthroscopic repair of even large tears can be achieved with two portals, minimizing deltoid injury. Repair is via suture anchors. Double-row anchor techniques provide a footprint repair.

  • Arthroscopic rotator cuff repair has results comparable to open repair, but has the advantages of less damage to deltoid, less pain, smaller scars, more rapid recovery with fewer adhesions, and in experienced hands the surgery is quicker. In addition, any other intra-articular pathology can be dealt with.


Rotator Cuff Open Repair Suture Anchor Rotator Cuff Repair Humeral Shaft 
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Further Reading

  1. Favard L, Bacle G, Berhouet J. Rotator cuff repair. Joint Bone Spine. 2007;74(6):551–7.PubMedCrossRefGoogle Scholar
  2. Labbé MR. Arthroscopic technique for patch augmentation of rotator cuff repairs. Arthroscopy. 2006;22(10):1136.e1–6.CrossRefGoogle Scholar
  3. Marx RG, Koulouvaris P, Chu SK, et al. Indications for surgery in clinical outcome studies of rotator cuff repair. Clin Orthop Relat Res. 2009;467(2):450–6.PubMedCrossRefGoogle Scholar
  4. Oh LS, Wolf BR, Hall MP, et al. Indications for rotator cuff repair: a systematic review. Clin Orthop Relat Res. 2007;455:52–63.PubMedCrossRefGoogle Scholar
  5. Wolf BR, Dunn WR, Wright RW. Indications for repair of full-thickness rotator cuff tears. Am J Sports Med. 2007;35(6):1007–16.PubMedCrossRefGoogle Scholar
  6. Saridakis P, Jones G. Outcomes of single-row and double-row arthroscopic rotator cuff repair: a systematic review. J Bone Joint Surg Am. 2010;92(3):732–42.PubMedCrossRefGoogle Scholar
  7. MacDonald PB, Altamimi S. Principles of arthroscopic repair of large and massive rotator cuff tears. Instr Course Lect. 2010;59:269–80.PubMedGoogle Scholar
  8. Adla DN, Rowsell M, Pandey R. Cost-effectiveness of open versus arthroscopic rotator cuff repair. J Shoulder Elbow Surg. 2010;19(2):258–61.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Department of Trauma and Orthopaedic SurgeryLeeds Teaching Hospitals NHS TrustLeedsUK

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