Immune microenvironment in rotator cuff healing: from macrophage dynamics to immunomodulatory regenerative therapies
Rotator cuff repair is increasingly limited by biology rather than fixation alone: the repaired tendon commonly heals through fibrovascular scar rather than recreating the graded tendon-fibrocartilage-bone enthesis, particularly in aging, metabolic disease, muscle degeneration, and poor bone quality. The immune microen...