Management of Partial-Thickness Rotator Cuff Tears

Partial-thickness rotator cuff tears are a common finding in the military population. Given that these lesions are often present in asymptomatic populations, it is important to perform a thorough history and physical examination along with selective injections to confirm or rule out the partial-thickness tear as a source of pain or dysfunction. Once the decision has been made to operatively treat these tears, a number of options exist, including debridement, repair in situ, or completion of the tear with subsequent repair. Selection between these options is dependent on the extent of the tear, the experience of the surgeon, and the goals of the patient. This article presents a brief discussion on tear recognition, classification, and diagnostic challenges, followed by the technical details behind arthroscopic repair. With careful attention to the clinical workup, and meticulous surgical technique, these tears can be successfully treated to return active duty patients and cadets back to full military duty.