Stevens et al. [1] first reported rotator cuff tears (RCTs) following anterior shoulder dislocation in 1926. In 1934, Codman et al. [2] also reported that the possibility of RCT should be a concern in elderly patients with shoulder dislocation. Since then, a lot have been reported about the concomitant RCTs after shoulder dislocation in literature [3–6], and the condition was indicated to have higher incidence in older patients. It has been recognized that the natural history of anterior shoulder dislocations in patients older than 40 years is markedly different from the younger population. In the older patients, after shoulder dislocation the primary issue is not the recurrence of the dislocation but the concomitant RCTs, which might result in the persistent shoulder pain, dysfunction, and instability.