There is currently a lot of controversy about the best type of rotator cuff repair, particularly with regard to whether the repair is single-row or double-row. In a single-row repair, anchors are placed in the humeral bone in a single line or row (typically 2 anchors) and sutures are passed through the rotator cuff and tied to bring the tendon down to bone and promote healing.
The rotator cuff is a group of four muscles that come together to form a covering around the head of the humerus. Tears can occur in one or more of areas of the rotator cuff, but does treatment vary depending on the location of the tear? Yes it does.
In recent years, there has been an increasing trend toward sub-specialization. In order to become an orthopaedic surgeon, for instance, one completes 4 years of medical school, followed by a 5 to 6 year residency program. In the past, most surgeons would then enter practice as a “generalist” and treat conditions all over the body such as foot problems, hand problems, hip problems, and shoulder problems.
Most people have heard of the rotator cuff. The rotator cuff is group of 4 shoulder muscles (subscapularis, supraspinatus, infraspinatus, and teres minor) that surround the ball and socket (glenohumeral) joint (Figure 1). The rotator cuff helps the shoulder move and provides stability to the ball and socket joint.