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Online ISSN 1827-1707
SPORT RELATED INJURIES
Shah A. 1, Deutsch A. 2
1 Baylor College of Medicine, Houston, TX, USA
2 Department of Orthopedic Surgery, Kelsey-Seybold Clinic, Houston, TX, USA
Rotator cuff injuries are a common cause of shoulder pain in people of all age groups. Cuff pathology represents a spectrum of disease, ranging from tendinitis to massive tears of multiple tendons. Diagnosis is usually made through a detailed history, physical examination, and imaging studies. Athletes often relate a history of repetitive overhead activities involving the cuff or describe a history of trauma preceding the clinical onset of symptoms. The treatment of rotator cuff pathology has evolved over the past few decades as a result of increased understanding in the anatomy and biomechanics of the shoulder. With advanced instrumentation, materials, and methods, surgical management of cuff tears has shifted to all-arthroscopic techniques, especially in the athletic population. As arthroscopic rotator cuff repairs can be technically challenging, the authors chose to briefly review the fundamentals of rotator cuff anatomy, structural integrity, surgical technique, and rehabilitation. A complete understanding of these principles is essential to successful rotator cuff repair and outcome.