Orthopedics and sports medicine · Munich
Rotator cuff tear
A rotator cuff tear may develop gradually or follow an injury. Symptoms range from manageable pain to substantial weakness. Tear size alone does not determine the best treatment: tendon quality, muscle changes, function and personal goals also matter.
Assessment
What the assessment considers
The review distinguishes a recent traumatic tear from a longer-standing change. Examination and original MRI images assess the affected tendons, retraction, muscle atrophy, fatty change and associated biceps problems. Previous rehabilitation and response to treatment are considered.
Next steps
Treatment and next steps
Some patients improve with rehabilitation and symptom management. Repair may be considered for selected tears, especially when function is substantially affected. If a repair is unlikely to heal, other strategies may be discussed. Recovery expectations and the duration of postoperative rehabilitation should be clear before a decision.
Your consultation
Prepare for the consultation
Bring original images and reports, previous operation notes, a medication list and a short timeline of symptoms and treatment. Write down the activities you want to regain and your most important question. Initial inquiries should not include confidential medical attachments; agree a suitable transfer route with the practice first.
Travel and continuity of care
Coming from abroad?
Confirm the consultation language, any interpreting needs, fees and the appropriate appointment before booking travel. This website’s language does not guarantee a consultation in that language. Follow-up and communication with your local clinicians should be planned in advance.
Related information
Continue with your next question.
Second opinion
A second opinion examines whether an existing recommendation fits your symptoms, function and goals. It may confirm the proposed treatment or identify an alternative; it is not a promise to avoid surgery.
Rehabilitation
Plan recovery around function, progressive loading and your activity goals.
Detailed German article
The original German page, including its detailed discussion and references.
Common questions
Answers to common questions.
What does tendon retraction on a shoulder MRI mean?
Retraction means that the torn tendon end has pulled away from its attachment. How far it has moved, how mobile the tendon remains and how long the finding has been present influence whether an anatomical repair is possible and appropriate.
Does every full-thickness rotator cuff tear need surgery?
No. Physiotherapy can improve symptoms even with small to medium full-thickness tears. In some people, tear size, muscle wasting and fatty changes may progress over time. The decision therefore considers shoulder function, repairability, age, activity level and how the condition is developing.
When can I return to sport after a rotator cuff injury?
Return should be guided by function, not time alone. Movement, strength, shoulder-blade control, sport-specific load tolerance and the response to training matter. Overhead and throwing sports usually require later, more specific clearance than everyday activities.
Do I need to repeat my scans?
Not automatically. Bring the original images and reports first. Further imaging is considered if the existing study does not answer the clinical question or if your condition has changed.
Can this be assessed without travelling?
Some questions can be reviewed from records, but physical examination may be essential. Ask the practice to confirm suitability, scope and a secure document-transfer route before sending records or booking travel.
How are treatment costs and follow-up agreed?
Request an individual estimate and clarify reimbursement with your insurer. Ask which examinations, written reports and follow-up visits are included. International patients should also plan rehabilitation and medical contact after returning home.
PD Dr med Daniel P. BertholdOrthopedic surgeon · University lecturer · Sports orthopedicsAuthor and medically responsiblePD Dr. med. Daniel P. BertholdSpecialist in Orthopaedics and Trauma SurgeryUpdated
Next step
Which contact route fits your request?
Choose between a clinical appointment, second opinion, athlete care or a professional inquiry.
