Massive rotator cuff tears (MRCT) have not a consensual definition but usually are chronic lesions, associated with bad prognostic factors that adversely affect the clinical symptoms and the treatment. When surgery is advised, it is a difficult problem to solve because the poor biologic and mechanical properties associated harms the capacity to heal of the musculotendinous unit. Treatment should be individualized and currently there is a wide range of clinical therapeutic options.

We propose a theoretical Symposium and a hands-on cadaveric course about this problematic. The practical course will allow to develop technical skills in the solutions most used to treat this broad-spectrum pathology like arthroscopy (e.g. long biceps head tenotomy, partial/complete repair), arthroplasty (e.g. reversed prosthesis) and tendon transfers. The surgical training will be complemented by the Symposium that will allow to acquire basic science information about muscle and tendon biopathology, healing and evidence based lectures about the clinical solutions currently available in MRCT.

This course does not provide credentials for the exercise of medicine for those without appropriate training, recognition and registered at the "Ordem dos Médicos".​​