Fig.1 Normal rotator cuff attachment around the humeral headFig. 2 Rotator cuff viewed from aboveFig. 3 Supraspinatus tear of the rotator cuffFig. 4. Small tear involving the supraspinatus tendon onlyFig. 5. Large tear involving the supraspinatus and infraspinatusFig. 6. Large rotator cuff tear with poor quality tissueFig. 7. Large rotator cuff tear with early loss of the cartilage of the humeral head (rotator cuff tear arthropathy)Fig. 8. Large rotator cuff tear that is not reparableFig. 9. Massive rotator cuff tear with rotator cuff tear arthropathyFig. 10. Complete failure of rotator cuff with rotator cuff tear arthropathyFig. 11. Rotator cuff tear arthropathy with collapse of the humeral head