Rotator Cuff Disorders and Their Treatment

presented by Peter Millett

Accreditation Check:

Dr. Peter Millett is an orthopaedic surgeon and partner at the Steadman Clinic, and is consistently selected as one of the "Best Doctors in America." In this course, he covers anatomy, evaluation, and rehabilitation of common rotator cuff disorders. He will take you through the characteristics of various types of rotator cuff tears and other pathologies, outline keys to success and identify the different prognostic factors that contribute to good outcomes with rotator cuff patients. You will learn how to evaluate and examine a patient with a possible rotator cuff pathology, and the different repair techniques will be examined from an evidence-based perspective. Dr. Millett concludes with a presentation of the three-phase approach to the rehabilitation of rotator cuff patients.

Meet Your Instructor

  • Peter Millett, MD, MS

    Peter Millett, MD, MS

    Dr. Peter Millett is an orthopaedic surgeon and partner at the internationally renowned Steadman Clinic in Vail, Colorado. Consistently selected as one of the "Best Doctors in America," Dr. Millett specializes in disorders of the shoulder, knee, and elbow as well as all sports-related injuries. He uses advanced open and arthroscopic surgical techniques to restore damaged joints, ligaments, and bones. His focuses include advanced shoulder arthroscopy, arthroscopic stabilization surgery and the treatment of athletes with shoulder injuries. He also has expertise in complex and revision shoulder surgery and total joint replacement. Prior to coming to Vail, Dr. Millett held a faculty appointment at Harvard Medical School and was formerly Co-Director of the Harvard Shoulder Service and the Harvard Shoulder Fellowship. While in Boston, he also founded and directed the Musculoskeletal Proteomics Research Group at Harvard, where his team discovered and patented the protein profile for osteoarthritis. His clinical practice in Boston was based at the prestigious Brigham & Women's and Massachusetts General Hospitals. He has authored over 90 peer-reviewed, scientific articles, numerous book chapters, and 2 books on Orthopedics, Sports Medicine, and Shoulder Surgery. You can view much of his work under the Press and Publication area of this website. His academic work has been recognized with awards from several international societies, including the 2010 Achievement Award from the American Academy of Orthopedic Surgeons for his contributions to the field. Dr. Millett also serves as a shoulder and sports medicine consultant to the country of Bermuda and has treated elite athletes from the NFL, NBA, MLB, NHL, X-Games, and the Olympics. Board Certified by the American Board of Orthopaedic Surgery, Dr. Millett is also a member of numerous academic societies including the American Academy of Orthopaedic Surgeons, the American Shoulder and Elbow Surgeons, the American Orthopaedic Society for Sports Medicine, the Orthopaedic Research Society, the Arthroscopy Association of North America. ?Dr. Millett is also affiliated with the United States Ski and Snowboard Association and has served as a team physician for the U.S. Ski Team and as a consultant to the Montreal Canadiens, professional hockey club. A native of Pennsylvania, Dr. Millett received his undergraduate degree from the University of Scranton, in Scranton, Pennsylvania and his medical degree from Dartmouth Medical School in Hanover, New Hampshire. He also studied as a research scholar at the University of Cambridge in England, where he was awarded a master's degree in science (M.Sc.) for his work in skeletal biology. Dr. Millett performed his orthopaedic residency training at the Hospital for Special Surgery in New York City, part of Cornell University's Medical School and the oldest and most prestigious orthopaedic residency program in the country. While there, he twice received the Lewis Clark Wagner Award for excellence in orthopaedic research as well as the American Orthopaedic Association – Zimmer Travel Award, a national award for orthopaedic research. Dr. Millett earned additional subspecialty, fellowship training in sports medicine, knee and shoulder surgery with Drs. Richard Steadman and Richard Hawkins in Vail, Colorado. As a fellow, he also served as an associate physician for the Denver Broncos professional football team, the Colorado Rockies Major League Baseball team, and the U.S. Ski Team. Dr. Millett and his wife have four children and are very active in the Vail Valley community. An avid outdoorsman, Dr. Millett also enjoys skiing the powder of Vail's back bowls, snowcat skiing in Colorado's backcountry, road cycling the mountain passes, and golfing in the high country. When not working or spending time with his children, Dr. Millett also enjoys traveling the world pursuing his other lifelong passion, flyfishing, for literally anything that swims in either fresh or salt water!

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Chapters & Learning Objectives

  1. Anatomy of the Rotator Cuff

    1. Anatomy of the Rotator Cuff

    Describe the anatomy of the shoulder as it relates to the rotator cuff, identify the muscles of the rotator cuff, as well as describe their unique characteristics and insertional footprints. Describe the characteristics of the various types of full thickness and partial thickness rotator cuff tears. Outline other shoulder pathologies that can occur concomitantly with rotator cuff tears.

  2. Keys to Success

    2. Keys to Success

    Differentiate modifiable and non-modifiable factors affecting the success of rotator cuff repairs, explain the different prognostic factors that contribute to good outcomes of rotator cuff repairs, outline various repair techniques and the associated technique errors in rotator cuff repair.

  3. Evaluation and Exam

    3. Evaluation and Exam

    Learn how to perform examination and evaluative procedures to assess a patient with a potential rotator cuff tear.

  4. Repair of the Rotator Cuff

    4. Repair of the Rotator Cuff

    Outline the potential causes of partial tears, full thickness tears, subscapularis tears, and biceps injuries. Explain the various surgical approaches to the repair of partial, full thickness, and subscapularis tears, the possible complications, and current evidence-based understanding of outcomes after surgical repair.

  5. Rehabilitation

    5. Rehabilitation

    Implement an evidence-based approach in the rehabilitation of patients who undergo rotator cuff repair. Outline the various approaches in the creation of rehabilitation programs for patients who have undergone rotator cuff repairs. Implement a three phase approach in the rehabilitation of patients with rotator cuff repairs.