• Rotator cuff tears in overhead athletes are commonly partial-thickness articular-sided tears; of these, most can be successfully treated with nonoperative management. • Structured rehabilitation focusing on all parts of the kinetic chain is key. • Surgical debridement and repair of concomitant pathology may allow players to return to sport, though outcomes are highly variable. • Repair is generally reserved for athletes failing nonoperative management or those with acute, full-thickness tears. • When repair is indicated, double-row transosseous equivalent is the preferred repair technique for most athletes, but in overhead athletes, this is performed in a lateralized location within the anatomic footprint.
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