caa a22 4500 605460183 CHVBK 20210128100237.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-014-3445-z doi (NATIONALLICENCE)springer-10.1007/s00167-014-3445-z History of rotator cuff surgery [Elektronische Daten] [Pietro Randelli, Davide Cucchi, Vincenza Ragone, Laura de Girolamo, Paolo Cabitza, Mario Randelli] Purpose: Rotator cuff surgery is a rapidly evolving branch in orthopaedics, which has raised from a minor niche to a fully recognized subspecialty. This article summarizes its history, examining the development of its key principles and the technical advancements. Methods: Literature was thoroughly searched, and few senior surgeons were interviewed in order to identify the significant steps in the evolution of rotator cuff surgery. Results: A wide variety of surgical options is available to reduce pain and restore function after rotator cuff tears. Rotator cuff repair surgical techniques evolved from open to arthroscopic and are still in development, with new fixation techniques and biological solutions to enhance tendon healing being proposed, tested in laboratory and in clinical trials. Although good or excellent results are often obtained, there is little evidence that the results of rotator cuff repair are improving with the decades. An overall high re-tear rate remains, but patients with failed rotator cuff repairs can experience outcomes comparable with those after successful repairs. Conclusions: Rotator cuff repair techniques evolve at a fast pace, with new solutions often being used without solid clinical evidence of superiority. It is necessary to conduct high-level clinical studies, in which data relating to anatomical integrity, patient self-assessed comfort and function, together with precise description of patient's condition and surgical technique, are collected. Level of evidence: IV. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Rotator cuff nationallicence Shoulder nationallicence Arthroscopic rotator cuff repair nationallicence Open rotator cuff repair nationallicence History of surgery nationallicence Randelli Pietro Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy aut Cucchi Davide Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy aut Ragone Vincenza Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy aut de Girolamo Laura Laboratorio di Biotecnologie applicate all'Ortopedia, IRCCS Istituto Ortopedico Galeazzi, Via Galeazzi, 4, 20161, Milan, Italy aut Cabitza Paolo Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy aut Randelli Mario IRCCS Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milan, Italy aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 344-362 0942-2056 23:2<344 2015 23 167 https://doi.org/10.1007/s00167-014-3445-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 brief-communication jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3445-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Randelli Pietro Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Cucchi Davide Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Ragone Vincenza Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy aut NATIONALLICENCE 700 1- de Girolamo Laura Laboratorio di Biotecnologie applicate all'Ortopedia, IRCCS Istituto Ortopedico Galeazzi, Via Galeazzi, 4, 20161, Milan, Italy aut NATIONALLICENCE 700 1- Cabitza Paolo Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Randelli Mario IRCCS Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milan, Italy aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 344-362 0942-2056 23:2<344 2015 23 167