Advancement of the supraspinatus muscle in the repair of ruptures of the rotator cuff.

The association of suprascapular neuropathy with massive rotator cuff tears: A preliminary report

“…2,5,12, 24 Debeyre described a more extensive release of the supraspinatus, in which the muscle was elevated from its origin medially on the supraspinatus fossa and advanced laterally to allow closure of a massive rotator cuff tear. 6,15 In both cases, it is likely that tension on the suprascapular nerve is decreased and may contribute to the success of the procedures. However, our study of suprascapular neuropathy in association with massive rotator cuff tears cannot explain why patients regain function after simple débridement of the tear with or without acromioplasty or tuberoplasty.…”

“…In that situation, multiple surgical options have been tried. 2,3,5,6,[9][10][11]12,[15][16][17][19][20][21]23,24 As is always the case, whenever multiple options exist for a surgical problem, it can be certain that none of them is uniformly successful. This is definitely the case with irreparable rotator cuff tears, for which no definitive treatment exists.…”

Sterile synovio-cutaneous fistula: A potential complication of repair of large and massive rotator cuff tears

“…5,12 The surgeon may then choose from one of several surgical options: primary repair of the mobilized tendon, 16,41 primary repair augmented by the biceps tendon, 27,35,36 and primary repair with or without advancement of adjacent cuff tissue, such as the infraspinatus or subscapularis. 9,20,34 In cases where closure is not possible, latissimus dorsi transfer, 17 synthetic materials, 37 and allograft cuff tissue 33 can be used to close the defect. In general, the use of mobilized tissue and transposition of existing cuff tissue has given more predictable long-term results than the use of transposed fascia, synthetic material, or allograft tissue.…”

Rotator Cuff Tears in Polytrauma - A Hidden Lesion

“…Aside from this, an attempt should be made Unlike in an early repair, mobilization of the rotator cuff tendon edges may be difficult and additional steps are needed to reduce the retracted tendons to their insertion site on the greater tuberosity. These additional steps may include lysis of subacromial adhesions [83][84][85][86][87][88], release of the rotator interval and coracohumeral ligament at the base of the coracoids [89][90], anterior and posterior interval slides [91][92][93][94][95], capsular release [90], and mobilization of the supraspinatus off the scapula which can allow for up to 3 cm of lateral advancement of the tendon [83,96].…”