Rotator Cuff Healing

Abstract

The present article broadly addresses the aspects that interfere with the healing process of the rotator cuff. Life habits, such as smoking and alcoholism, are considered, systemic factors such as diabetes mellitus, hypertension, and obesity, as well as local factors, among which are those related to the pre, peri, and postoperative periods. From an extensive literature review, with the citation of 60 scientific articles from both Western and Eastern literature, the authors intend to deepen the theme by bringing to medical practice conducts based on new established concepts.

Keywords: rotator cuff injuries/diagnosis; rotator cuff injuries/epidemiology; rotator cuff injuries/surgery; wound healing.

Fig. 1

In the young, the tendon insertion is organized in distinct layers (a) in the elderly, there is disorganization (b).

Fig. 2

Organization of the fibers of the supraspinatus tendon in layers in the young, and its progressive disorganization in the adult.

Fig. 3

Critical shoulder angle.

Fig. 1

No jovem, a inserção tendínea se organiza em camadas distintas (a) no idoso ocorre a sua desorganização (b).

Fig. 2

Organização das fibras do tendão supraespinal em camadas no jovem, e a sua progressiva desorganização no adulto.

Fig. 3

Ângulo crítico do ombro.