Advances in the Repair and Rehabilitation of Shoulder Rotator Cuff Tears

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 20 March 2025 | Viewed by 85

Special Issue Editors


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Guest Editor
Università LUM Casamassima (Ba), Istituto di Riabilitazione Residenziale Intensiva Santa Chiara, Lecce, Italy
Interests: rehabilitation robotics; neurological diseases; motor control
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Guest Editor
Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
Interests: aging; disability; epidemiology; sarcopenia; osteoporosis; frailty; shoulder pain; rehabilitation

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Guest Editor
Concordia Hospital for Special Surgery, 00145 Rome, Italy
Interests: regenerative medicine; shoulder; knee; arthroscopic
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Special Issue Information

Dear Colleagues,

Rotator cuff tears are the most common shoulder problem, and their prevalence ranges from 5 to 30%. The majority of these cuff tears are degenerative, so their prevalence increases with age. Most degenerative tears are asymptomatic, but some develop pain. Still debated is the role of the association between the number of tendons involved, comorbidity factors, severity of the injury, humeral head migration, and fatty degeneration of the supraspinatus as a cause of painful evolution. The indications for surgery in rotator cuff tears are persistence of symptoms like pain after rehabilitation, traumatic full-thickness tear, good muscle quality as in younger individuals, and pseudoparalysis. While adopting for surgical intervention, all sources of pain should be considered. The sources of pain are cuff tear, subacromial bursa, biceps tendon attachment, a tight capsule, degenerative symptomatic acromioclavicular joint, and a tight subacromial space with hooked acromion, so the surgery should address all these potential pain-generating pathologies. The objective of rotator cuff repair is to achieve anatomical reduction of the cuff tear to the foot print. The age of the patient, duration of tear, extent of tear, and quality of tendon dictate the healing potential of the repaired cuff. The goal of the treatment is to achieve pain-free shoulders with good function. The outcome of repair is good in anatomical foot print repair.

Dr. Raffaello Pellegrino
Dr. Angelo Di Iorio
Dr. Giovanni Di Giacomo
Guest Editors

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Keywords

  • rotator cuff tears
  • degenerative
  • repair
  • shoulder impingement
  • arthroscopic
  • treatment
  • rehabilitation
  • regenerative medicine
  • pain

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