Arthroscopic Debridement of Massive Irreparable Rotator Cuff Tears

Liem, Dennis; Lengers, Nina; Dedy, Nicolas J.; Poetzl, Wolfgang; Steinbeck, Jörn; Marquardt, B.

doi:10.1016/j.arthro.2008.03.007

Cited by 123 publications

(86 citation statements)

References 22 publications

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“…In addition, there is no evidence that debridement is more effective than isolated bicipital tenotomy [10]. Patients submitted only to arthroscopic debridement have a less marked improvement in functional capacities than those submitted to partial arthroscopic repair [30]. Rockwood et al reported 44 cases (88%) out of 50 in which decreased pain and improved function and strength occurred after debridement and decompression.…”

Section: Debridement and Subacromial Decompressionmentioning

confidence: 99%

“…Burkhart et al [2] obtained similar results in 14 patients. Berth et al [30] also concluded that patients undergoing partial arthroscopic repair have a marked improvement in functional abilities and a more marked recovery in day-to-day activities than patients who underwent only arthroscopic debridement [30].…”

Section: Partial Repairmentioning

confidence: 99%

“…Despite the existence of some disappointing results, there are certain undeniable advantages of arthroscopic subacromial debridement and decompression: the rehabilitation program is faster; The complication rates are low, since it is a minimally invasive procedure; And brings the possibility of the surgery being done in the outpatient clinic [30].…”

Section: Debridement and Subacromial Decompressionmentioning

confidence: 99%

“…Debridement is indicated In elderly patients with low functional requirements [9,20], whose main complaint is pain but with good preservation of the active movement and transverse and coronal forces of intact glenohumeral joint [2]. It is even indicated in patients unable to undergo long postoperative recovery [30].…”

Section: Debridement and Subacromial Decompressionmentioning

confidence: 99%

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Rotary Hood Massive Break Solutions? Massive Rotator Cuff Tear Solutions?

Panzina¹,

Gutierres²

2017

MOJOR

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Aim: review the current literature on options of treatment for massive rotator cuff tear Sources of data:The information was researched on the Pubmed using the following keywords: "massive", "rotator", "cuff ", "tear", "treatment". The survey was restricted to articles in english or portuguese, with less than 5 years. After selection 55 articles were used. Summary of data:Massive Rotator Cuff Tear is an orthopaedic challenge with a technically hard repair and a recurrence rate distinctively higher than the smaller tears rate. Its treatment has a high failure rate, which is influenced by factors such as patient's age, fatty degeneration and muscular retraction. The treatment choice should be based on patient's age, functional demands and symptoms. Conclusion:There are several options for the treatment of rotator cuff tears. Conservative treatment achieved good results in many patients, leaving many of them assymptomatic and with satisfactory function. The arthroscopic débridement, subacromial decompression and bicips tenotomy have as main objective the symptomatic relief and may be indicated in elderly patients with low functional demands, whose major complaint is pain. Repair should be tried specially in young symptomatic high-demand patients. Both hemiarthroplasty as reverse arthroplasty may be indicated in massive rupture and cuff arthropathy, being reverse arthroplasty the most effective treatment, although the not negligible mid-term complication rate.

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Section: Debridement and Subacromial Decompressionmentioning

confidence: 99%

Section: Partial Repairmentioning

confidence: 99%

Section: Debridement and Subacromial Decompressionmentioning

confidence: 99%

Section: Debridement and Subacromial Decompressionmentioning

confidence: 99%

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Rotary Hood Massive Break Solutions? Massive Rotator Cuff Tear Solutions?

Panzina¹,

Gutierres²

2017

MOJOR

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“…Options range from nonoperative care to operative debridement and biceps tenotomy, 1,2 partial repair of the rotator cuff, [3][4][5][6][7] bridging patch grafts, 7 muscle transfers, [8][9][10][11] and reverse total shoulder arthroplasty. However, the results of such treatments are often mixed with a significant risk of complications.…”

mentioning

confidence: 99%

Arthroscopic Superior Capsular Reconstruction for Treatment of Massive Irreparable Rotator Cuff Tears

Hirahara¹,

Adams

2015

Arthroscopy Techniques

174

167

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Massive irreparable rotator cuff tears have been troublesome entities to treat, especially in younger patients. Few good options exist, leaving most patients in recent years receiving a reverse total shoulder arthroplasty. Reverse shoulder arthroplasty carries serious risks, a limited lifespan, and no other viable options should it fail. Recent biomechanical studies have shown that the superior capsule is critical to containing the glenohumeral joint reduced, allowing the larger muscles like the deltoid and pectoralis major to function properly. The superior capsular reconstruction is an anatomic reconstruction of the superior capsule to restore the normal restraint to superior translation that occurs with a deficient rotator cuff. The technique described in this article is an arthroscopic reconstruction of the superior capsule with dermal allograft.

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