Treatment of large and massive rotator cuff tear must be based on individual patient indications Bri...

Treatment options for large and massive rotator cuff tears, in the setting of failed conservative treatment, include debridement, isolated biceps tenotomy or tenodesis, primary repair, partial repair, subacromial spacer, superior capsular reconstruction, biologic tuberoplasty, bridging reconstruction, tendon transfers, reverse shoulder arthroplasty, and others. Each performs well under optimal indications.