A Narrative Review of Rotator Cuff Tear Management: Surgery Versus Conservative Treatment
2024

Managing Rotator Cuff Tears: Surgery vs. Conservative Treatment

publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Altamimi Turki Abdulaziz, Alkathami Abdulaziz Ahmed, Al-Awn Raghad Mahdi M, Alkhaldi Mohammed Hamoud Eid, Alhudaithi Muath Hussain M, Alqahtani Abdulhadi Ali, Alzahrani Afaf Abdulaziz Salem, Aladwani Sally Saleh Mohammed, Abdulrahman Aljalal Fahad, Almutawah Ahmed Nasser A

Hypothesis

What are the long-term results of surgical versus non-surgical interventions for rotator cuff injuries?

Conclusion

Surgical treatments generally provide better functional outcomes and pain relief compared to non-surgical options, but non-surgical treatments can also be effective for smaller tears.

Supporting Evidence

  • Surgical treatments generally provide better functional outcomes and pain relief.
  • Non-surgical options like physical therapy can be effective for smaller tears.
  • The choice of treatment depends on factors like tear size and patient health.
  • Many older adults with rotator cuff tears may be asymptomatic.
  • Personalized treatment approaches are important for effective management.

Takeaway

Rotator cuff tears are common, especially in older people, and can be treated with surgery or physical therapy. Surgery usually works better, but therapy can also help.

Methodology

A comprehensive literature review was conducted using databases like PubMed and Scopus, focusing on studies published between 2014 and 2024.

Limitations

The review may not cover all relevant studies and outcomes, particularly for specific patient demographics.

Participant Demographics

The review discusses rotator cuff tears primarily in middle-aged and elderly individuals.

Digital Object Identifier (DOI)

10.7759/cureus.74988

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