The natural history of rotator cuff tears

Rotator cuff disease is one of the most prevalent musculoskeletal disorders treated by orthopaedic surgeons. Despite its prevalence, the natural history of the disease is not completely understood, which is critical to consider when making decisions on surgical and nonsurgical treatment of rotator cuff tears. This article reviews the most recent studies on the natural history of rotator cuff disease and provides the clinician with guidelines on whether surgical or nonsurgical management is indicated.