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Correspondence on ‘Non-surgical and surgical treatments for rotator cuff disease: a pragmatic randomised clinical trial with 2-year follow-up after initial rehabilitation’
  1. Pietro Randelli1,2,
  2. Lavinia Agra Coletto3,4,
  3. Alessandra Menon1,2,
  4. Roberto Caporali3,4
  1. 1 1° Clinica Ortopedica, ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy
  2. 2 Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy
  3. 3 Division of Clinical Rheumatology, ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy
  4. 4 Dept. of Clinical Sciences and Community Health, Research Center for Adult and Pediatric Rheumatic Diseases, Università degli Studi di Milano, Milan, Italy
  1. Correspondence to Professor Roberto Caporali, Department of Clinical Sciences and Community Health, ASS G. Pini, University of Milan, Milano 20122, Lombardia, Italy; roberto.caporali{at}

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With great interest, we read the relevant results of a randomised clinical trial designed to compare conservative and surgical approach for treating rotator cuff disease (RCD), leading cause of shoulder pain and disability in adult’s population. The study highlighted the superiority of surgery, by means of shoulder pain (Visual Analogue Scale) and function (Constant Murley Score) improvement after 2 years, in patients with full-thickness rotator cuff tear.1 Whereas, as already stated in other studies,2 3 RCD without full-thickness tendon tear benefits equally from either non-surgical treatment or subacromial decompression.

Based on the experience of our hospital, where orthopaedics and rheumatologists work everyday side by side, we would like to make some comments and to share our point of view.

The power of the study lies in the fact that potential eligible patients underwent a systematic adequately performed 3-month rehabilitation, after which only who was still symptomatic was randomised.

The trial was designed in order to distinguish, right from the start, two subgroups in each …

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  • Correction notice This article has been corrected since it published Online First. The provenance and peer review statement has been included.

  • Contributors RC and PR contributed to the planning and the final reporting of the work; while LAC and AM to the study of the literature and to writing of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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