Rotator cuff repair.

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Abstract

[Indexed for MEDLINE] 16. Arthroscopy. 2019 Apr;35(4):1072-1073. doi: 10.1016/j.arthro.2018.12.021. Editorial Commentary: Teriparatide and Rotator Cuff Healing-Maybe Hormones Can Help Tendons to Heal. Werner BC(1). Author information: (1)University of Virginia Health System. Comment on Arthroscopy. 2019 Apr;35(4):1064-1071. doi: 10.1016/j.arthro.2018.11.038. Achieving tendon-bone healing continues to be challenging after arthroscopic rotator cuff repair, particularly for larger tears, despite significant improvements in repair techniques and implants. Considerable effort has been invested in research to identify methods to improve healing, including patches and injectable biologics. Parathyroid hormone improves tendon-to-bone healing. Teriparatide is osteogenic, stimulating bone growth, and chondrogenic, promoting cartilage formation at the enthesis. However, it could be difficult to justify the expense and potential risk of systemic administration of a recombinant hormone to improve structural healing until improvement in clinical outcomes can be shown. Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.arthro.2018.12.021