Semin Musculoskelet Radiol 2014; 18(04): 412-424
DOI: 10.1055/s-0034-1384830
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Current Concepts on Imaging Diagnosis of Rotator Cuff Disease

Eric Y. Chang
1   Department of Radiology, VA San Diego Healthcare System, San Diego, California
2   Department of Radiology, University of California, San Diego Medical Center, San Diego, California
Christine B. Chung
1   Department of Radiology, VA San Diego Healthcare System, San Diego, California
2   Department of Radiology, University of California, San Diego Medical Center, San Diego, California
› Author Affiliations
Further Information

Publication History

Publication Date:
03 September 2014 (online)


Rotator cuff disease is common and may be clinically silent or a cause of shoulder pain. Evaluation of the rotator cuff before and after surgery is challenging for the orthopedic surgeon, but the radiologist can make an accurate diagnosis and facilitate appropriate management. This article reviews the current concepts on imaging diagnosis of rotator cuff disease, beginning with a discussion of the complex anatomy of the rotator cuff, continuing into the normal and pathologic MR imaging appearances of the rotator cuff including tendinosis and tearing, and concluding with a review of the postoperative cuff after various surgical repair techniques.

  • References

  • 1 Chakravarty K, Webley M. Shoulder joint movement and its relationship to disability in the elderly. J Rheumatol 1993; 20 (8) 1359-1361
  • 2 Chard MD, Hazleman BL. Shoulder disorders in the elderly (a hospital study). Ann Rheum Dis 1987; 46 (9) 684-687
  • 3 Chard MD, Hazleman R, Hazleman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheum 1991; 34 (6) 766-769
  • 4 van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis 1995; 54 (12) 959-964
  • 5 Tashjian RZ. Epidemiology, natural history, and indications for treatment of rotator cuff tears. Clin Sports Med 2012; 31 (4) 589-604
  • 6 Harrison AK, Flatow EL. Subacromial impingement syndrome. J Am Acad Orthop Surg 2011; 19 (11) 701-708
  • 7 Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 1995; 77 (1) 10-15
  • 8 Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M. Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br 1995; 77 (2) 296-298
  • 9 Mall NA, Kim HM, Keener JD , et al. Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables. J Bone Joint Surg Am 2010; 92 (16) 2623-2633
  • 10 Moosmayer S, Tariq R, Stiris M, Smith HJ. The natural history of asymptomatic rotator cuff tears: a three-year follow-up of fifty cases. J Bone Joint Surg Am 2013; 95 (14) 1249-1255
  • 11 Sher JS, Iannotti JP, Williams GR , et al. The effect of shoulder magnetic resonance imaging on clinical decision making. J Shoulder Elbow Surg 1998; 7 (3) 205-209
  • 12 Riley GP, Harrall RL, Constant CR, Chard MD, Cawston TE, Hazleman BL. Tendon degeneration and chronic shoulder pain: changes in the collagen composition of the human rotator cuff tendons in rotator cuff tendinitis. Ann Rheum Dis 1994; 53 (6) 359-366
  • 13 Matuszewski PE, Chen YL, Szczesny SE , et al. Regional variation in human supraspinatus tendon proteoglycans: decorin, biglycan, and aggrecan. Connect Tissue Res 2012; 53 (5) 343-348
  • 14 Clark JM, Harryman II DT. Tendons, ligaments, and capsule of the rotator cuff. Gross and microscopic anatomy. J Bone Joint Surg Am 1992; 74 (5) 713-725
  • 15 Chang EY, Szeverenyi NM, Statum S, Chung CB. Rotator cuff tendon ultrastructure assessment with reduced-orientation dipolar anisotropy fiber imaging. AJR Am J Roentgenol 2014; 202 (4) W376–W378
  • 16 Morag Y, Jamadar DA, Boon TA, Bedi A, Caoili EM, Jacobson JA. Ultrasound of the rotator cable: prevalence and morphology in asymptomatic shoulders. AJR Am J Roentgenol 2012; 198 (1) W27–W30
  • 17 Macarini L, Muscarella S, Lelario M , et al. Rotator cable at MR imaging: considerations on morphological aspects and biomechanical role. Radiol Med (Torino) 2011; 116 (1) 102-113
  • 18 Gyftopoulos S, Bencardino J, Nevsky G , et al. Rotator cable: MRI study of its appearance in the intact rotator cuff with anatomic and histologic correlation. AJR Am J Roentgenol 2013; 200 (5) 1101-1105
  • 19 Burkhart SS, Esch JC, Jolson RS. The rotator crescent and rotator cable: an anatomic description of the shoulder's “suspension bridge”. Arthroscopy 1993; 9 (6) 611-616
  • 20 Nguyen ML, Quigley RJ, Galle SE , et al. Margin convergence anchorage to bone for reconstruction of the anterior attachment of the rotator cable. Arthroscopy 2012; 28 (9) 1237-1245
  • 21 Mesiha MM, Derwin KA, Sibole SC, Erdemir A, McCarron JA. The biomechanical relevance of anterior rotator cuff cable tears in a cadaveric shoulder model. J Bone Joint Surg Am 2013; 95 (20) 1817-1824
  • 22 Nimura A, Kato A, Yamaguchi K , et al. The superior capsule of the shoulder joint complements the insertion of the rotator cuff. J Shoulder Elbow Surg 2012; 21 (7) 867-872
  • 23 Nimura A, Akita K. Reply to: “The superior capsule of the shoulder joint complements the insertion of the rotator cuff”. J Shoulder Elbow Surg 2013; 22 (2) e20-e21
  • 24 Kato A, Nimura A, Yamaguchi K, Mochizuki T, Sugaya H, Akita K. An anatomical study of the transverse part of the infraspinatus muscle that is closely related with the supraspinatus muscle. Surg Radiol Anat 2012; 34 (3) 257-265
  • 25 Kim SY, Boynton EL, Ravichandiran K, Fung LY, Bleakney R, Agur AM. Three-dimensional study of the musculotendinous architecture of supraspinatus and its functional correlations. Clin Anat 2007; 20 (6) 648-655
  • 26 Roh MS, Wang VM, April EW, Pollock RG, Bigliani LU, Flatow EL. Anterior and posterior musculotendinous anatomy of the supraspinatus. J Shoulder Elbow Surg 2000; 9 (5) 436-440
  • 27 Gagey N, Gagey O, Bastian G, Lassau JP. The fibrous frame of the supraspinatus muscle. Correlations between anatomy and MRI findings. Surg Radiol Anat 1990; 12 (4) 291-292
  • 28 Vahlensieck M, an Haack K, Schmidt HM. Two portions of the supraspinatus muscle: a new finding about the muscles macroscopy by dissection and magnetic resonance imaging. Surg Radiol Anat 1994; 16 (1) 101-104
  • 29 Huang CY, Wang VM, Pawluk RJ , et al. Inhomogeneous mechanical behavior of the human supraspinatus tendon under uniaxial loading. J Orthop Res 2005; 23 (4) 924-930
  • 30 Mochizuki T, Sugaya H, Uomizu M , et al. Humeral insertion of the supraspinatus and infraspinatus. New anatomical findings regarding the footprint of the rotator cuff. J Bone Joint Surg Am 2008; 90 (5) 962-969
  • 31 Dugas JR, Campbell DA, Warren RF, Robie BH, Millett PJ. Anatomy and dimensions of rotator cuff insertions. J Shoulder Elbow Surg 2002; 11 (5) 498-503
  • 32 Curtis AS, Burbank KM, Tierney JJ, Scheller AD, Curran AR. The insertional footprint of the rotator cuff: an anatomic study. Arthroscopy 2006; 22 (6) e1
  • 33 Ruotolo C, Fow JE, Nottage WM. The supraspinatus footprint: an anatomic study of the supraspinatus insertion. Arthroscopy 2004; 20 (3) 246-249
  • 34 Resnick D, Kang HS, Pretterklieber ML. Internal Derangements of Joints. 2nd ed. Philadelphia, PA: Saunders/Elsevier; 2007
  • 35 Saji T, Arai R, Harada H , et al. Anatomical study on the origin and the insertion of the teres minor muscle. Paper presented at: International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine; May 12–16, 2013; Toronto, Canada
  • 36 Gray H, Clemente CD. Anatomy of the Human Body. 30th American ed. Philadelphia, PA: Lea & Febiger; 1985
  • 37 Arai R, Sugaya H, Mochizuki T, Nimura A, Moriishi J, Akita K. Subscapularis tendon tear: an anatomic and clinical investigation. Arthroscopy 2008; 24 (9) 997-1004
  • 38 Richards DP, Burkhart SS, Tehrany AM, Wirth MA. The subscapularis footprint: an anatomic description of its insertion site. Arthroscopy 2007; 23 (3) 251-254
  • 39 DePalma AF. Surgery of the Shoulder. 3rd ed. Philadelphia, PA: Lippincott; 1983
  • 40 Di Giacomo G. Atlas of Functional Shoulder Anatomy. Milan, Italy, and New York, NY: Springer; 2008
  • 41 Arai R, Mochizuki T, Yamaguchi K , et al. Functional anatomy of the superior glenohumeral and coracohumeral ligaments and the subscapularis tendon in view of stabilization of the long head of the biceps tendon. J Shoulder Elbow Surg 2010; 19 (1) 58-64
  • 42 D'Addesi LL, Anbari A, Reish MW, Brahmabhatt S, Kelly JD. The subscapularis footprint: an anatomic study of the subscapularis tendon insertion. Arthroscopy 2006; 22 (9) 937-940
  • 43 Chard MD, Cawston TE, Riley GP, Gresham GA, Hazleman BL. Rotator cuff degeneration and lateral epicondylitis: a comparative histological study. Ann Rheum Dis 1994; 53 (1) 30-34
  • 44 Järvinen M, Józsa L, Kannus P, Järvinen TL, Kvist M, Leadbetter W. Histopathological findings in chronic tendon disorders. Scand J Med Sci Sports 1997; 7 (2) 86-95
  • 45 Berenson MC, Blevins FT, Plaas AH, Vogel KG. Proteoglycans of human rotator cuff tendons. J Orthop Res 1996; 14 (4) 518-525
  • 46 Karjalainen PT, Soila K, Aronen HJ , et al. MR imaging of overuse injuries of the Achilles tendon. AJR Am J Roentgenol 2000; 175 (1) 251-260
  • 47 Krasnosselskaia LV, Fullerton GD, Dodd SJ, Cameron IL. Water in tendon: orientational analysis of the free induction decay. Magn Reson Med 2005; 54 (2) 280-288
  • 48 Berendsen HJC. Nuclear magnetic resonance study of collagen hydration. J Chem Phys 1962; 36: 3297
  • 49 Gagey N, Quillard J, Gagey O, Meduri G, Bittoun J, Lassau JP. Tendon of the normal supraspinatus muscle: correlations between MR imaging and histology. Surg Radiol Anat 1995; 17 (4) 329-334
  • 50 Kjellin I, Ho CP, Cervilla V , et al. Alterations in the supraspinatus tendon at MR imaging: correlation with histopathologic findings in cadavers. Radiology 1991; 181 (3) 837-841
  • 51 Tuite MJ. Magnetic resonance imaging of rotator cuff disease and external impingement. Magn Reson Imaging Clin N Am 2012; 20 (2) 187-200 , ix
  • 52 Reilly P, Macleod I, Macfarlane R, Windley J, Emery RJ. Dead men and radiologists don't lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence. Ann R Coll Surg Engl 2006; 88 (2) 116-121
  • 53 Ellman H. Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 1990; (254) 64-74
  • 54 Weber SC. Arthroscopic debridement and acromioplasty versus mini-open repair in the treatment of significant partial-thickness rotator cuff tears. Arthroscopy 1999; 15 (2) 126-131
  • 55 McConville OR, Iannotti JP. Partial-thickness tears of the rotator cuff: evaluation and management. J Am Acad Orthop Surg 1999; 7 (1) 32-43
  • 56 Fukuda H. The management of partial-thickness tears of the rotator cuff. J Bone Joint Surg Br 2003; 85 (1) 3-11
  • 57 Kim HM, Dahiya N, Teefey SA , et al. Location and initiation of degenerative rotator cuff tears: an analysis of three hundred and sixty shoulders. J Bone Joint Surg Am 2010; 92 (5) 1088-1096
  • 58 Fukuda H, Hamada K, Yamanaka K. Pathology and pathogenesis of bursal-side rotator cuff tears viewed from en bloc histologic sections. Clin Orthop Relat Res 1990; (254) 75-80
  • 59 Fukuda H, Hamada K, Nakajima T, Tomonaga A. Pathology and pathogenesis of the intratendinous tearing of the rotator cuff viewed from en bloc histologic sections. Clin Orthop Relat Res 1994; (304) 60-67
  • 60 Codman EA, Akerson IB. The pathology associated with rupture of the supraspinatus tendon. Ann Surg 1931; 93 (1) 348-359
  • 61 Maman E, Harris C, White L, Tomlinson G, Shashank M, Boynton E. Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging. J Bone Joint Surg Am 2009; 91 (8) 1898-1906
  • 62 Mazzocca AD, Rincon LM, O'Connor RW , et al. Intra-articular partial-thickness rotator cuff tears: analysis of injured and repaired strain behavior. Am J Sports Med 2008; 36 (1) 110-116
  • 63 Strauss EJ, Salata MJ, Kercher J , et al. Multimedia article. The arthroscopic management of partial-thickness rotator cuff tears: a systematic review of the literature. Arthroscopy 2011; 27 (4) 568-580
  • 64 de Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol 2009; 192 (6) 1701-1707
  • 65 Sheah K, Bredella MA, Warner JJP, Halpern EF, Palmer WE. Transverse thickening along the articular surface of the rotator cuff consistent with the rotator cable: identification with MR arthrography and relevance in rotator cuff evaluation. AJR Am J Roentgenol 2009; 193 (3) 679-686
  • 66 Lunn JV , et al. A novel lesion of the infraspinatus characterized by musculotendinous disruption, edema, and late fatty infiltration. J Shoulder Elbow Surg 2008; 17: 546-553
  • 67 Gyftopoulos S, O' Donnell J, Shah NP , et al. Correlation of MRI with arthroscopy for the evaluation of the subscapularis tendon: a musculoskeletal division's experience. Skeletal Radiol 2013; 42: 1269-1275
  • 68 Adams CR, Schoolfield JD, Burkhart SS. Accuracy of preoperative magnetic resonance imaging in predicting a subscapularis tendon tear based on arthroscopy. Arthroscopy 2010; 26 (11) 1427-1433
  • 69 Burkhart SS, Tehrany AM. Arthroscopic subscapularis tendon repair: technique and preliminary results. Arthroscopy 2002; 18 (5) 454-463
  • 70 Sakurai G, Ozaki J, Tomita Y, Kondo T, Tamai S. Incomplete tears of the subscapularis tendon associated with tears of the supraspinatus tendon: cadaveric and clinical studies. J Shoulder Elbow Surg 1998; 7 (5) 510-515
  • 71 Lo IK, Burkhart SS. Current concepts in arthroscopic rotator cuff repair. Am J Sports Med 2003; 31 (2) 308-324
  • 72 Tauro JC. Arthroscopic repair of large rotator cuff tears using the interval slide technique. Arthroscopy 2004; 20 (1) 13-21
  • 73 Pill SG, Phillips J, Kissenberth MJ, Hawkins RJ. Decision making in massive rotator cuff tears. Instr Course Lect 2012; 61: 97-111
  • 74 Delaney RA, Lin A, Warner JJ. Nonarthroplasty options for the management of massive and irreparable rotator cuff tears. Clin Sports Med 2012; 31 (4) 727-748
  • 75 Han Y, Shin JH, Seok CW, Lee CH, Kim SH. Is posterior delamination in arthroscopic rotator cuff repair hidden to the posterior viewing portal?. Arthroscopy 2013; 29 (11) 1740-1747
  • 76 Farley TE, Neumann CH, Steinbach LS, Jahnke AJ, Petersen SS. Full-thickness tears of the rotator cuff of the shoulder: diagnosis with MR imaging. AJR Am J Roentgenol 1992; 158 (2) 347-351
  • 77 Tashjian RZ, Hung M, Burks RT, Greis PE. Influence of preoperative musculotendinous junction position on rotator cuff healing using single-row technique. Arthroscopy 2013; 29 (11) 1748-1754
  • 78 Meyer DC, Hoppeler H, von Rechenberg B, Gerber C. A pathomechanical concept explains muscle loss and fatty muscular changes following surgical tendon release. J Orthop Res 2004; 22 (5) 1004-1007
  • 79 Albritton MJ, Graham RD, Richards II RS, Basamania CJ. An anatomic study of the effects on the suprascapular nerve due to retraction of the supraspinatus muscle after a rotator cuff tear. J Shoulder Elbow Surg 2003; 12 (5) 497-500
  • 80 Gladstone JN, Bishop JY, Lo IK, Flatow EL. Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med 2007; 35 (5) 719-728
  • 81 Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994; (304) 78-83
  • 82 Fuchs B, Weishaupt D, Zanetti M, Hodler J, Gerber C. Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging. J Shoulder Elbow Surg 1999; 8 (6) 599-605
  • 83 Thomazeau H, Boukobza E, Morcet N, Chaperon J, Langlais F. Prediction of rotator cuff repair results by magnetic resonance imaging. Clin Orthop Relat Res 1997; (344) 275-283
  • 84 Zanetti M, Gerber C, Hodler J. Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Invest Radiol 1998; 33 (3) 163-170
  • 85 Warner JJ, Higgins L, Parsons IV IM, Dowdy P. Diagnosis and treatment of anterosuperior rotator cuff tears. J Shoulder Elbow Surg 2001; 10 (1) 37-46
  • 86 Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP. Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy 2012; 28 (2) 154-159
  • 87 Kuzel BR, Grindel S, Papandrea R, Ziegler D. Fatty infiltration and rotator cuff atrophy. J Am Acad Orthop Surg 2013; 21 (10) 613-623
  • 88 Oh JH, Kim SH, Choi JA, Kim Y, Oh CH. Reliability of the grading system for fatty degeneration of rotator cuff muscles. Clin Orthop Relat Res 2010; 468 (6) 1558-1564
  • 89 Ensor KL, Kwon YW, Dibeneditto MR, Zuckerman JD, Rokito AS. The rising incidence of rotator cuff repairs. J Shoulder Elbow Surg 2013; 22 (12) 1628-1632
  • 90 Galatz LM, Sandell LJ, Rothermich SY , et al. Characteristics of the rat supraspinatus tendon during tendon-to-bone healing after acute injury. J Orthop Res 2006; 24 (3) 541-550
  • 91 McCarron JA, Derwin KA, Bey MJ , et al. Failure with continuity in rotator cuff repair “healing”. Am J Sports Med 2013; 41 (1) 134-141
  • 92 Iannotti JP, Deutsch A, Green A , et al. Time to failure after rotator cuff repair: a prospective imaging study. J Bone Joint Surg Am 2013; 95 (11) 965-971
  • 93 Chen M, Xu W, Dong Q, Huang Q, Xie Z, Mao Y. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: a systematic review and meta-analysis of current evidence. Arthroscopy 2013; 29 (8) 1437-1449
  • 94 Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal?. J Bone Joint Surg Am 2005; 87 (6) 1229-1240
  • 95 Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg 2014; 23 (4) 586-597
  • 96 Iyengar JJ, Porat S, Burnett KR, Marrero-Perez L, Hernandez VH, Nottage WM. Magnetic resonance imaging tendon integrity assessment after arthroscopic partial-thickness rotator cuff repair. Arthroscopy 2011; 27 (3) 306-313
  • 97 Duc SR, Mengiardi B, Pfirrmann CW, Jost B, Hodler J, Zanetti M. Diagnostic performance of MR arthrography after rotator cuff repair. AJR Am J Roentgenol 2006; 186 (1) 237-241
  • 98 Kim S-J, Kim S-H, Lim S-H, Chun YM. Use of magnetic resonance arthrography to compare clinical features and structural integrity after arthroscopic repair of bursal versus articular side partial-thickness rotator cuff tears. Am J Sports Med 2013; 41 (9) 2041-2047
  • 99 Crim J, Burks R, Manaster BJ, Hanrahan C, Hung M, Greis P. Temporal evolution of MRI findings after arthroscopic rotator cuff repair. AJR Am J Roentgenol 2010; 195 (6) 1361-1366
  • 100 Spielmann AL, Forster BB, Kokan P, Hawkins RH, Janzen DL. Shoulder after rotator cuff repair: MR imaging findings in asymptomatic individuals—initial experience. Radiology 1999; 213 (3) 705-708
  • 101 Owen RS, Iannotti JP, Kneeland JB, Dalinka MK, Deren JA, Oleaga L. Shoulder after surgery: MR imaging with surgical validation. Radiology 1993; 186 (2) 443-447
  • 102 Khazzam M, Kuhn JE, Mulligan E , et al. Magnetic resonance imaging identification of rotator cuff retears after repair: interobserver and intraobserver agreement. Am J Sports Med 2012; 40 (8) 1722-1727
  • 103 Reilly P, Amis AA, Wallace AL, Emery RJ. Supraspinatus tears: propagation and strain alteration. J Shoulder Elbow Surg 2003; 12 (2) 134-138
  • 104 Feeney MS, O'dowd J, Kay EW, Colville J. Glenohumeral articular cartilage changes in rotator cuff disease. J Shoulder Elbow Surg 2003; 12 (1) 20-23
  • 105 Ide J, Maeda S, Takagi K. Arthroscopic transtendon repair of partial-thickness articular-side tears of the rotator cuff: anatomical and clinical study. Am J Sports Med 2005; 33 (11) 1672-1679
  • 106 Lo IK, Burkhart SS. Transtendon arthroscopic repair of partial-thickness, articular surface tears of the rotator cuff. Arthroscopy 2004; 20 (2) 214-220
  • 107 Wolf EM, Pennington WT, Agrawal V. Arthroscopic side-to-side rotator cuff repair. Arthroscopy 2005; 21 (7) 881-887
  • 108 Burkhart SS. The principle of margin convergence in rotator cuff repair as a means of strain reduction at the tear margin. Ann Biomed Eng 2004; 32 (1) 166-170
  • 109 Suchenski M, McCarthy MB, Chowaniec D , et al. Material properties and composition of soft-tissue fixation. Arthroscopy 2010; 26 (6) 821-831
  • 110 Apreleva M, Ozbaydar M, Fitzgibbons PG, Warner JJ. Rotator cuff tears: the effect of the reconstruction method on three-dimensional repair site area. Arthroscopy 2002; 18 (5) 519-526
  • 111 Park MC, ElAttrache NS, Tibone JE, Ahmad CS, Jun BJ, Lee TQ. Part I: Footprint contact characteristics for a transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique. J Shoulder Elbow Surg 2007; 16 (4) 461-468
  • 112 Denard PJ, Burkhart SS. The evolution of suture anchors in arthroscopic rotator cuff repair. Arthroscopy 2013; 29 (9) 1589-1595
  • 113 Park MC, Elattrache NS, Ahmad CS, Tibone JE. “Transosseous-equivalent” rotator cuff repair technique. Arthroscopy 2006; 22 (12) e1-e5
  • 114 Voos JE, Barnthouse CD, Scott AR. Arthroscopic rotator cuff repair: techniques in 2012. Clin Sports Med 2012; 31 (4) 633-644
  • 115 Garofalo R, Castagna A, Borroni M, Krishnan SG. Arthroscopic transosseous (anchorless) rotator cuff repair. Knee Surg Sports Traumatol Arthrosc 2012; 20 (6) 1031-1035
  • 116 Salata MJ, Sherman SL, Lin EC , et al. Biomechanical evaluation of transosseous rotator cuff repair: do anchors really matter?. Am J Sports Med 2013; 41 (2) 283-290
  • 117 Chen NC, Bedi A. Rotator cuff defect: acute or chronic?. J Hand Surg Am 2011; 36 (3) 513-515 , quiz 515
  • 118 Cho NS, Yi JW, Lee BG, Rhee YG. Retear patterns after arthroscopic rotator cuff repair: single-row versus suture bridge technique. Am J Sports Med 2010; 38 (4) 664-671
  • 119 Hayashida K, Tanaka M, Koizumi K, Kakiuchi M. Characteristic retear patterns assessed by magnetic resonance imaging after arthroscopic double-row rotator cuff repair. Arthroscopy 2012; 28 (4) 458-464