Factors involved in the presence of symptoms associated with rotator cuff tears: a comparison of asymptomatic and symptomatic rotator cuff tears in the general population. is of importance. The authors found that in a Japanese mountain village, 283 shoulders in 211 individuals had cuff tears by ultrasonography. Of these 283 shoulders, 65% had no shoulder symptoms, that is no pain or disability in performing their usual daily activities within the two weeks prior to the study.
We made a graph showing the cuff tears by age along with the number that were without symptoms.
The bottom line is that we probably should base our indication for cuff surgery on the Mallory Justification ("because it's there") - you know how he wound up!
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