The arthroscopic repair of a massive rotator cuff tear, is a technically demanding procedure. Itrequires correct indications, good arthroscopic skills and a proper rehabilitation program. The clinical study ofthe patient and the instances of the rotator cuff injury, are fundamental to determine a correct therapeutic strategy.This strategy should consider every option from non-surgical to arthroscopic repair, tendon transfers, subacromialspreaders or shoulder arthroplasties. The arthroscopic repair is the standard treatment in patients withmassive repairable tears and with no fatty degeneration of the affected muscle. Meanwhile, the tendon transfersare indicated in young patients with highly functional demands that comprehend irreparable massive tears. Thespreaders or subacromial balloons and the shoulder prosthesis are performed in irreparable tears in low functionaldemand patients.

The arthroscopic repair of a massive rotator cuff tear, is a technically demanding procedure. Itrequires correct indications, good arthroscopic skills and a proper rehabilitation program. The clinical study ofthe patient and the instances of the rotator cuff injury, are fundamental to determine a correct therapeutic strategy.This strategy should consider every option from non-surgical to arthroscopic repair, tendon transfers, subacromialspreaders or shoulder arthroplasties. The arthroscopic repair is the standard treatment in patients withmassive repairable tears and with no fatty degeneration of the affected muscle. Meanwhile, the tendon transfersare indicated in young patients with highly functional demands that comprehend irreparable massive tears. Thespreaders or subacromial balloons and the shoulder prosthesis are performed in irreparable tears in low functionaldemand patients.