ArticleJSES international2026
Arthroscopic repair of posterosuperior massive rotator cuff tears provides good clinical outcomes despite high retear rate in the midterm.
Article in JSES international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: To evaluate clinical outcomes and revision surgery rates in primary arthroscopic repair for posterosuperior massive rotator cuff tears (MRCTs) at midterm follow-up and to identify prognostic factors associated with outcomes. Methods: A retrospective study of patients with posterosuperior MRCT treated with primary arthroscopic repair between 2006 and 2023 with a minimum of 2-year follow-up. MRCT was defined as complete detachment of >2 tendons or a diameter >5 cm. Baseline characteristics, surgical technique, range of motion, and patient-reported outcomes, including American Shoulder and Elbow Surgeons, Constant score, Simple Shoulder Test, satisfaction, and visual analog scale pain, were recorded. Retear, revision surgery, and survival rates were also evaluated. Univariate and multivariate analyses identified independent predictors of outcomes. Results: Fifty-seven patients with 5.4 ± 3.6 years mean follow-up were evaluated. All patient-reported outcomes significantly improved from pre-operative to post-operative ( Conclusion: Arthroscopic repair of posterosuperior MRCT provides significant pain and function improvement. Despite a high retear rate, midterm clinical results remain favorable, with low complication and revision rates.
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