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First published on March 2, 2007, doi:10.1177/0363546506295079
This version was published on June 1, 2007
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The American Journal of Sports Medicine 35:1007-1016 (2007)
© 2007 American Orthopaedic Society for Sports Medicine

Clinical Sports Medicine Update

Indications for Repair of Full-Thickness Rotator Cuff Tears

Brian R. Wolf, MD, MS{dagger},{ddagger},*, Warren R. Dunn, MD, MPH{ddagger},§ and Rick W. Wright, MD{ddagger},ll

From the {dagger} Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, {ddagger} Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Group, the § Department of Orthopaedics and Rehabilitation, Department of Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee, and the || Department of Orthopaedic Surgery, Washington University, St. Louis, Missouri

* Address correspondence to Brian R. Wolf, MD, MS, Department of Orthopaedics and Rehabilitation University of Iowa 200 Hawkins Drive Iowa City, IA 52246 (e-mail: brian-wolf{at}uiowa.edu).

Rotator cuff repair surgery for full-thickness tears is common and accepted in orthopaedics today. Given that a significant number of people have asymptomatic rotator cuff tears, the indications for surgery are, however, somewhat unclear. Multiple factors such as duration of symptoms, acuity and size of the tear, patient age, and others require consideration and can influence the decision to perform surgery. This article reviews these variables and the indications for surgery to repair full-thickness rotator cuff tears.

Key Words: rotator cuff • rotator cuff repair • indications • indications for surgery • shoulder






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Copyright © 2007 by the American Orthopaedic Society for Sports Medicine.