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 cuff, allowing for the repair of the cuff without disruption of the deltoid origin. The results of decompression alone tend to degrade with time, but the combination of repair and decompression appears to be more enduring. Repair of a complete, full-thickness tear involves tissue suture. The method currently in favor is to place an anchor in the bone at the natural attachment site, with resuture of torn tendon to the anchor. If tissue quality is poor, mesh (collagen, Artelon, or other degradable material) may be used to reinforce the repair. Repair can be performed through an open incision, again requiring