Rotator cuff tears can result separately or from any combination of vascular, degenerative, mechanical, or traumatic causes. A correct diagnosis is sometimes difficult since the clinical findings and symptoms vary largely. Treatment requires an early surgical intervention either with a suture of the tear or a reconstruction in case of larger tears or defects depending on the tear size, since early surgical treatment leads to better results. With surgery also it is more likely to prevent cuff arthropathy with subsequent joint destruction and painful loss of function.