{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:00:34Z","timestamp":1792602034433,"version":"4.5.0"},"reference-count":54,"publisher":"Royal College of Surgeons of England","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgical routes, tendon healing rates with surgery (radiological outcome) and natural history of the tears if treated non-operatively. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> A PRISMA-compliant search was carried out, including the online databases PubMed and Embase\u2122 from 1960 to the end of June 2018. <\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p> A total of 49 of the 743 (579 PubMed and 164 Embase\u2122) results yielded by the preliminary search were included in the review. There is no doubt that the non-surgical route with an appropriate physiotherapy programme has a role in the management of degenerative rotator cuff tears. This is especially the case in patients with significant risk factors for surgery, those who do not wish to go through a surgical treatment and those with small, partial and irreparable tears. However, rotator cuff repair has a good clinical outcome with significant improvements in pain, range of motion, strength, quality of life and sleep patterns. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2019.0173","type":"journal-article","created":{"date-parts":[[2020,1,3]],"date-time":"2020-01-03T09:14:28Z","timestamp":1578042868000},"page":"248-255","source":"Crossref","is-referenced-by-count":70,"title":["Degenerative rotator cuff tear, repair or not repair? 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