Rotator cuff repair: Arthroscopic or open?

Treatment of partial tears remains an issue

According to Evan L. Flatow, MD, the treatment of partial thickness rotator cuff tears remains an ongoing area of controversy because orthopaedic surgeons lack evidence-based data that can help in making treatment decisions. “Randomized, prospective studies don’t exist,” says Dr. Flatow. “Even the retrospective studies available aren’t really very well controlled.

“The theory and ideology will suggest treatment rationale a little bit,” he suggests. “If there’s impingement, decompression is needed; for tendon degeneration, resection and repair is indicated; and for altered kinematics, stabilization is required.”

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