Orthopedics Today | A 58-year-old woman was referred to our clinic for a massive, retracted right rotator cuff tear.Her past medical history was complicated and included prior myocardial infarction, Crohn’s disease, hepatitis C, hypertension, depression, chronic obstructive pulmonary disease and smoking one pack of cigarettes daily for 30 years. Her referral was placed for rotator cuff pathology, but between