Shoulder pain that is not shoulder pathology - a shoulder surgeon's guide to concomitant cervical spine and rotator cuff disease

Published on March 30, 2026

JSES Rev Rep Tech. 2026 Feb 6;6(2):100690. doi: 10.1016/j.xrrt.2026.100690. eCollection 2026 May.

ABSTRACT

BACKGROUND: Rotator cuff and cervical spine disease are complex and nuanced conditions that commonly coexist, creating a challenging treatment paradigm.

METHODS: An algorithmic approach to diagnosis and management is developed in this study and illustrated through clinical vignettes.

RESULTS: The diagnostic and therapeutic challenges of concomitant shoulder and neck conditions may be simplified by this approach.

CONCLUSION: Shoulder surgeons should seek cervical disease with a high index of suspicion and understand cervical conditions that may take surgical precedence to rotator cuff repair.

PMID:41907389 | PMC:PMC13022657 | DOI:10.1016/j.xrrt.2026.100690

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