What is rotator cuff disease anyway?

doi:10.1136/bmj.b642

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Gabriel Symonds, general practitioner1

¹Tokyo, Japan

symonds{at}tokyobritishclinic.com

I am not surprised that the study by Ekeberg and colleagues showed no difference between subacromial ultrasound-guided or systemic steroid injection for rotator cuff disease.1

What is rotator cuff disease? I submit no such disease exists. You might as well talk of shoulder pain disease or the long discredited periarthritis.

The diagnostic …