Rotator cuff tear acromial shapes is likely both genetic and acquired. In the latter case, only age has been positively correlated with progression from flat to curved or hooked. The nature of mechanical activities, such as sports involving the shoulder, along with frequency and intensity of such sports, may be responsible for the adverse development. Sports such as bowling in cricket, swimming, tennis, baseball, and kayaking, are most frequently implicated. However, a progression to a hooked acromion may simply be an adaptation to an already damaged, poorly balanced rotator cuff that is creating increasing stress on the coracoacromial arch. Other anatomical factors that
Rotator cuff tear extension, or vertical abduction, it is less likely to suffer from a tear of the tendon. Those suspected of having a rotator cuff tear may have operative or non-operative treatment. No evidence of benefit is seen from early rather than delayed surgery, and many with partial tears and some with complete tears will respond to nonoperative management. Consequently, many recommend initial, nonsurgical management. However, early surgical treatment may be considered in significant (>1 cm-1.5 cm) acute tears or in young patients with full-thickness tears who have a significant risk for the development of irreparable rotator cuff changes. A review in