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Challenges associated with arthroscopic surgery include: Prolonged recovery time (46 months of rehab) Postoperative stiffness or shoulder weakness Risk of re-tear, especially in older adults or smokers Variable tendon healing depending on tear size and tissue quality According to a 2017 systematic review in Arthroscopy, success rates for arthroscopic repair exceed 85% in motivated patients with good surgical indications

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This age threshold reflects ongoing clinical caution regarding how such medications might affect patients who have not yet completed puberty