Architectural gear ratio and their accompanying tendons. These muscles form a cuff around the glenohumeral joint and function to stabilize and manipulate the shoulder. The pennation angle of the rotator cuff myofibers, the angle at which fibers connect to the associated tendon, affects the contractile properties and function of the whole pennate muscle. For example, the pennation angle determines the architectural gear ratio at which a pennate muscle operates. A large initial pennation angle results in a large AGR and velocity amplification. A 2011 study on human cadaveric shoulders suggests tendon tears may affect the pennation angle of the rotator cuff muscles. Researchers
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