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J Am Acad Orthop Surg, Vol 15, No 4, April 2007, 218-227.
© 2007 the American Academy of Orthopaedic Surgeons
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The Rotator Interval: Anatomy, Pathology, and Strategies for Treatment

Stephen A. Hunt, MD, Young W. Kwon, MD, PhD and Joseph D. Zuckerman, MD

Dr. Hunt is Attending Orthopaedic Surgeon, Bedminster, NJ. Dr. Kwon is Assistant Professor, Shoulder and Elbow Services, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases, New York, NY. Dr. Zuckerman is Chairman, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Hunt, Dr. Kwon, and Dr. Zuckerman.

Reprint requests: Dr. Kwon, NYU– Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003.

Over the past two decades, it has become accepted that the rotator interval is a distinct anatomic entity that plays an important role in affecting the proper function of the glenohumeral joint. The rotator interval is an anatomic region in the anterosuperior aspect of the glenohumeral joint that represents a complex interaction of the fibers of the coracohumeral ligament, the superior glenohumeral ligament, the glenohumeral joint capsule, and the supraspinatus and subscapularis tendons. As basic science and clinical studies continue to elucidate the precise role of the rotator interval, understanding of and therapeutic interventions for rotator interval pathology also continue to evolve. Lesions of the rotator interval may result in glenohumeral joint contractures, shoulder instability, or in lesions to the long head of the biceps tendon. Long-term clinical trials may clarify the results of current surgical interventions and further enhance understanding of the rotator interval.






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Copyright © 2007 by the American Academy of Orthopaedic Surgeons.