Editorial Commentary: Arthroscopic Subacromial Balloon Spacer for Massive Rotator Cuff Tears Results in Fast Recovery and Lasting Pain Relief.

Repair of rotator cuff tear is challenging because poor biologic factors can negatively impact tendon healing and risk complications. Sometimes, instead of attempting complex procedures with a guarded prognosis to reconstruct or replace rotator cuff like tissue, less is more. Minimally invasive, arthroscopic subacromial balloon spacer (SBS) for massive rotator cuff tears, demonstrates excellent long-term outcomes. Radiographically, SBS outcomes may be concerning, but clinically, patients do well. If pain is the primary complaint and function is maintained, the balloon spacer is an excellent option with a fast recovery. However, if function is deficient, or if the patient prioritizes strength recovery as their primary desired outcome, then more invasive procedures are often indicated.