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The rotator cuff is an anatomically complex structure important for providing glenohumeral function and stability as part of a closed chain system. Current consensus suggests rotator cuff injuries are most accurately diagnosed, at levels similar to diagnosis by magnetic resonance imaging, with a combination of cuff\u2010 and impingement\u2010specific clinical tests. Updates in the understanding of acromion morphology, the insertional anatomy of the rotator cuff, and the role of suprascapular nerve release may require changes to current classification systems and surgical strategies. Although initial management focuses on nonoperative protocols, discussion continues on whether surgery for isolated impingement is clinically more beneficial than rehabilitation. However, clear indications have yet to be established for the use of single\u2010 versus double\u2010row repair because evidence confirms neither is clinically efficacious than the other. Biceps tenodesis, however, in non\u2010isolated cuff tears has proven more successful in addressing the etiology of shoulder pain and yields improved outcomes over tenotomy. Data reviewing the benefits of tendon transfers, shoulder prostheses, and mechanical scaffolds, as well as new research on the potential benefit of platelet\u2010rich plasma, pluripotential stem cells, and gene therapies, will also be presented.<\/jats:p>","DOI":"10.1016\/j.arthro.2013.07.265","type":"journal-article","created":{"date-parts":[[2013,9,13]],"date-time":"2013-09-13T15:30:20Z","timestamp":1379086220000},"page":"1840-1850","source":"Crossref","is-referenced-by-count":46,"title":["Management of Disorders of the Rotator Cuff: Proceedings of the ISAKOS Upper Extremity Committee Consensus Meeting"],"prefix":"10.1002","volume":"29","author":[{"given":"Guillermo","family":"Arce","sequence":"first","affiliation":[{"name":"Closed Consensus Meeting of the International Society of Knee Surgery and Orthopaedic Sports Medicine Upper Extremity Committee Buenos Aires 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