Delamination of rotator cuff tears presents a challenge to shoulder arthroscopists. Tear pattern recognition and an understanding of anatomy as it relates to the superior capsule guide treatment strategies. The key to management of a delaminated rotator cuff tear is to recognize differential retraction of respective layers. Successful outcomes of surgical management require conscientious and deliberate restoration of the attachment points of the cable. The goal is to produce an anatomic repair.
Moezzi, D. (2018, December 1). Editorial Commentary: Restoration of Rotator Cuff Footprint Anatomy Is All That Matters, No Matter How We Get There. Arthroscopy - Journal of Arthroscopic and Related Surgery. W.B. Saunders. https://doi.org/10.1016/j.arthro.2018.08.023