Rotator cuff tears are generally seen as degenerative tears after the age of 50 in normal population. In athletes, rotator cuff tears are seen due to repetitive microtraumas caused by excessive tensile loading, after internal or external impingement, or as a result of trauma. Although the incidence of rotator cuff tears varies according to the sport, it is more common in overhead athletes. The treatment method should be decided by evaluating the age of the athlete, the localization of the tear, its size, whether it is in or out of the season, its effect on performance, and the sport branch. It should be noted that the expectations of the athletes and the level of activity they need to return to are higher than normal population. It should be known that it is not always possible to return to sports at the same performance level after a rotator cuff tear in athletes, especially in overhead athletes.