Editorial Commentary: Progression of Degenerative Full-Thickness Rotator Cuff Tears: Are We Finally Using Natural History Data to Define At-Risk Tears?

Defining and understanding natural history data for any disease is paramount to developing effective treatment strategies: degenerative rotator cuff disease is no different. The natural history defines disease progression without treatment or intervention. Given the persistent variable indications for surgical intervention for painful rotator cuff tears, a more thorough understanding of the rate of progression of full-thickness rotator cuff tears can help to refine surgical indications and potentially define the risks of nonoperative treatment. This systematic review synthesizes existing literature and takes the surgeon one step closer to understanding the rates of tear progression for untreated tears—one small step.