Arthroscopic Treatment of Rotator Cuff Tendonitis Including Treatment of Acromioclavicular Joint Osteoarthritis and Os Acromiale

  • Mathew J. Hamula
  • Andrew S. Rokito


Rotator cuff (RTC) tendonitis is a common shoulder pathology originating from a variety of extrinsic factors, intrinsic pathology, or a combination of both. It can be challenging to diagnose the underlying issue; however it is imperative to identify in order to select the appropriate treatment and optimize outcomes. The mainstay of treatment is nonoperative management. Following an adequate trial of non-operative management, surgical intervention may be warranted and should address the concomitant pathology including osseous and soft tissue sources of extrinsic compression. Anatomical variations of the acromion should be identified and addressed when appropriate. Surgeons should also take into consideration the distal clavicle and acromioclavicular joint as possible sources of symptoms. A careful history and physical exam in conjunction with radiographs and advanced imaging can assist in the appropriate treatment of patients with rotator cuff tendonitis that have failed nonoperative management.


Rotator cuff tendonitis Diagnosis Management Os acromiale Shoulder arthroscopy Distal clavicle resection 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Division of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, NYU Langone Medical CenterNYU Hospital for Joint DiseasesNew YorkUSA

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