1. The transacromial approach is dry, easy, and especially useful for surgical procedures involving the cuff, capsule, humeral head, long biceps tendon, and intra-articular cavity of the shoulder.
2. Distinct benefits are gained by excising and discarding the outer fragment of divided acromion a t the close of the operative procedure.
3. Retracted tears of the musculotendinous cuff can be repaired, according to the plan described, so that, regardless of their duration, size, shape, or amount of retraction, uniformly good results may be obtained.
4. Massive avulsion of the cuff, per se, does not warrant fusion of the shoulder.
5. The postoperative regimen following any cuff repair should remain under the control and close supervision of the surgeon who performed the operation.