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 or arthritis. Superior labral anterior-posterior lesions produce pain similar to that of rotator cuff tears. Those most prone to failed rotator cuff syndrome are patients 65 years of age or older; and those with large, sustained tears. Smokers, diabetes sufferers, patients with muscle atrophy and/or fatty infiltration, and those who do not follow postoperative-care recommendations also are at greater risk. Doctors examine patients and conduct imaging tests to identify the causes of continued discomfort. Depending upon the diagnosis, several treatment alternatives are available. They include revision repair, nonanatomic repair, tendon transfer and arthroplasty. When possible, surgeons make tension-free repairs in