Arthroscopic repair of an isolated supraspinatus detachment commonly leads to complete tendon healing. The absence of healing of the repaired rotator cuff is associated with inferior strength. Patients over the age of sixty-five years (p = 0.001) and patients with associated delamination of the subscapularis and/or the infraspinatus (p = 0.02) have significantly lower rates of healing.

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Concern about early initiation of rehabilitation and introduction of gradual functional load does not appear warranted but this should be considered in a context of potential for Type II error. There is further need to evaluate approaches that foster early initiation of rehabilitation and gradual introduction of functional load as well as considering key outcomes such as return to work.

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♦ RSR provides a unique tool for patients with cuff tear arthropathy♦ RSR is a useful tool for fractures, tumours, and revision of shoulder replacements♦ However RSR comes with specific complications such as scapular notching and acromial fractures♦ The 10 year results of RSR show that prosthetic loosening is no more frequent than with anatomical prostheses.

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