Abstract

The configuration of the suture placed in the rotator cuff tendon in the presence of a delaminated tear may be an important determinant of outcome. Delaminated rotator cuff tears are difficult to repair and probably occur more frequently than appreciated. The goal of anatomic reduction of the tendon to the footprint, attaching the deep tendon layer to the medial aspect of the footprint while approximating the superior tendon layer to the more lateral aspect of the footprint, may best result in complete healing.

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