1 Recommendations

1 Recommendations

When debridement is a suitable option

When debridement is not a suitable option


Further research should ideally be randomised controlled trials. It should report details of patient selection (including demographics and the tear size), measures of shoulder function, pain relief and quality of life. Follow up should ideally be for at least 2 years.


Patient selection should be done by a multidisciplinary team experienced in managing the condition, including clinicians with specific training in the procedure.


The procedure should only be done by surgeons with specific training in inserting the device.

Why the committee made these recommendations

Good quality evidence from the UK shows that symptoms including shoulder dysfunction and pain may be worse after this procedure compared with after debridement (removing damaged tissue from around the shoulder joint). So, the procedure should not be used when debridement is a suitable option.

It is not clear from the evidence if the procedure is beneficial for people with rotator cuff tears when debridement is not suitable. The evidence does not suggest any major safety concerns, but evidence on long-term safety and benefit is limited. So, when debridement is not a suitable option, this procedure should be used only in research.

  • National Institute for Health and Care Excellence (NICE)