Shoulder Pathologies

Rotator Cuff Tears

Traumatic or degenerative tear of one, two or three tendons.


Rotator cuff tear is a rupture, either traumatic or degenerative (wear) of one, two or three tendons inserted on the trochiter.
Such a tear progressively leads to muscle atrophy and irreversible fatty degeneration. In over 50% of cases, the long head of the biceps muscle is pathological.


Standard X-Rays : AP (neutral, medial and lateral rotation) and Lamy lateral views: acromial hooking, subacromial impingement syndrome, impingement.

Ultrasound : partial tear, complete tear


MRI or arthroscan : gives information on the size of the tear, and the amount of muscle atrophy, and fatty degeneration of the biceps


Conservative: Rehabilitation
Surgical: direct repair of the tear, plasty, muscle transfer

In case of associated degenerative arthritis, which implant?

  • If the rotator cuff is functional : anatomic prosthesis
  • If the rotator cuff is destroyed : reverse total shoulder prosthesis
  • If the glenoid fossa is intact: : simple humeral implant

Implant longevity


  • 10 to 15 or 20 years
  • In case of loosening of the glenoid component, redo surgery is possible
  • Benefit of a universal implant



Pain free, full motion, but strength often reduced as compared to a normal shoulder.


Institut de la main

In 20 years of existence, the INSTITUT DE LA MAIN has become one of the main hand and upper limb surgery centers in Europe. Its nine surgeons on staff can treat all hand and upper limb problems. 


Contact Us

Institut de la Main
Clinique Bizet
21 rue Georges Bizet
75016 PARIS

Front Desk : +331 84 13 04 56

Hand Emergencies : +331 84 131 131