Rotator cuff tear surgery, although intellectually interesting, does not seem to demonstrate a statistically significant clinical difference. Biceps tenotomy and tenodesis are are often performed concomitantly with rotator cuff repair or as separate procedures and can be a sole or concomitant cause of shoulder pain. Tenodesis, which may be performed as an arthroscopic or open procedure, generally restores pain free motion it the biceps tendon, or attached portion of the labrum, is the cause of the pain. Tenotomy is a shorter surgery, requiring less rehabilitation, that doctors tend to recommended for older patients who don't mind the cosmetic 'popeye sign' that sometimes is
Rotator cuff tear Of those whose tears enlarge, 20% have no symptoms while 80% eventually develop symptoms. There is no irrefutable evidence that rotator cuff surgery benefits patients more than non-surgical management and a percentage of patients never regain full range of motion after surgery. Epidemiological studies strongly support a relationship between age and cuff tear prevalence. In a recent study the frequency of such tears increased from 13% in the youngest group (aged 50–59 y) to 20% (aged 60–69 y), 31% (aged 70–79 y), and 51% in the oldest group (aged 80–89 y). This high rate of tear prevalence in asymptomatic individuals