Matching Rotator Cuff Repair Construct to Tear Pattern to Achieve Anatomic Restoration and Minimize Tension Mismatch for Repairable Posterosuperior Tears

Rotator cuff tears are all unique, with certain patterns that can categorize certain types of tears. This article focuses on exploring how tear pattern, tear mobility, and the tear reduction vector can be assessed arthroscopically to provide surgeons with a framework for using the most appropriate construct for each tear. This surgical decision-making framework aims to empower surgeons to look beyond repairing all tears with the same construct and, rather, introduce some nuance in matching the repair construct to the tear, thereby enabling better anatomic restoration and minimizing tension mismatch.