Arthroscopic repair of large rotator cuff tears using the interval slide technique

Tauro, Joseph C.

doi:10.1016/j.arthro.2003.10.013

Cited by 72 publications

(39 citation statements)

References 15 publications

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“…As opções de tratamento são as mais variadas, desde não cirúrgico, desbridamento aberto associado à descompressão subacromial, desbridamento artroscópico associado ou não a descompressão subacromial, reparo parcial do manguito rotador, reparo aberto, reparo pela técnica da mini-incisão, reparo artroscópico, tenotomia do bíceps e técnicas combinadas (7,(10)(11)(12)(13)15,18,19,20) , além de mais recentemente podermos utilizar a prótese reversa (14) . O tamanho das LEMR não é o único fator a ser considerado na escolha do método de tratamento; a mobilidade e a qualidade dos tendões e dos ventres musculares correspondentes são fatores importantes para avaliar a possibilidade de reparação dessas lesões (3) .…”

Section: Discussionunclassified

“…As opções de tratamento para essas lesões extensas do manguito rotador são: conservador, desbridamento articular com tenotomia do tendão da cabeça longa do múscu-lo bíceps braquial, reconstrução com enxerto homólogo, transferências de músculos da cintura escapular, tentativa de reparo parcial ou até mesmo completo do manguito rotador, sempre que possível, e artroplastia reversa do ombro em casos de exceção (10)(11)(12)(13)(14) . Quando técnicas apropriadas de mobilização são empregadas, a grande maioria dessas lesões pode ser reparada completa ou parcialmente (9,11,15,16) .…”

Section: Introductionunclassified

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Lesões extensas do manguito rotador: avaliação dos resultados do reparo artroscópico

Miyazaki¹,

Fregoneze²,

Santos³

et al. 2009

Rev. bras. ortop.

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Section: Discussionunclassified

Section: Introductionunclassified

Lesões extensas do manguito rotador: avaliação dos resultados do reparo artroscópico

Miyazaki¹,

Fregoneze²,

Santos³

et al. 2009

Rev. bras. ortop.

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“…중형 회전근 개 파열에 대한 관절경하 봉합술의 경험이 축적되면서, 자연적으로 대형 이 상 회전근 개 파열에 대한 수술로 접근하게 되었 다. 소형과 중형 회전근 개 파열에 대한 관절경하 봉합술의 우수한 결과가 보고되고 있다 3,7-9, 11) . 15) .…”

Section: 서 론unclassified

The Usefulness of all Arthroscopic Repair with Biceps Incorporation in Massive Sized Fullthickness Rotator Cuff Tears

Ko¹,

Rhee²,

Jeon³

et al. 2007

Clinics in Shoulder and Elbow

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Purpose: The purpose of this paper is to clinically evaluate the usefulness of all arthroscopic repair with biceps incorporation in massive sized full thickness rotator cuff tears.Materials and Methods: This is a prospective comparative outcome study evaluating a series of all arthroscopic rotator cuff repairs with biceps incorporation on massive (range: 5~6 cm sized) from March 2003 to May 2006. Group I was twenty two cases of arthroscopically repaired with biceps incorporation, twenty cases of group II without biceps incorporation were analyzed. The average age of the patients was 58 years (range, 41~74 years), and mean follow-up was 24 months (range, 12~36 months). Results were statistically compared by Mann-Whitney test.Results: Average VAS for pain, ADL, UCLA score were not significantly different between group I and group II (P>0.05 for each). Forward elevation strength was 4.3 in group I, 3.5 in group II (P<0.05) . On postoperative follow up ultrasound, retear was 10 cases in the middle of 19 cases at group I, 15 cases in the middle of 17 cases at group II (P<0.05).Conclusion: This study reveals that all arthroscopic repairs with biceps incorporation in massive sized full thickness rotator cuff tears is an effective surgical method and reduced retear and enhanced strength.

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“…The posterior slide involves releasing the interval between supraspinatus and infraspinatus tendons. Excursion increases of 1 -2 cm can be expected following an anterior interval slide while combined anterior and posterior slides can achieve excursions up to 3 -4 cm (50,51). Caution is indicated when choosing a posterior slide as there is evidence that such repairs are not significantly better when compared to partial repairs without the addition of interval slides (52).…”

Section: Surgical Repair Of Large/massive Rotator Cuff Tearsmentioning

confidence: 99%

Large/Massive Tears, Fatty Infiltration, and Rotator Cuff Muscle Atrophy: A Review Article With Management Options Specific to These Types of Cuff Deficiencies

et al. 2016

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Context: There are many studies in the literature looking into factors affecting outcomes in rotator cuff surgery. The aetiology of rotator cuff deficiency is often multi-factorial and there are many facets towards successful management in this often debilitating condition. Evidence Acquisition: We performed a literature search of MEDLINE and Embase databases using the terms large rotator cuff tears, fatty infiltration rotator cuff, rotator cuff atrophy, rotator cuff augmentation, rotator cuff tendon transfers, allografts rotator cuff repair, xenograft rotator cuff repair and synthetic grafts rotator cuff repair. Results: In this article, we focus particularly on the aetiology, pathology and prognosis of large tears, fatty infiltration and muscle atrophy of the rotator cuff. An overview of the various treatment strategies and current/future concepts are also discussed in managing patients with these types of rotator cuff deficiencies. Conclusions: Large tears, fatty infiltration and muscle atrophy of the cuff are challenging. An in-depth understanding of these elements may prove vital for the practising orthopedician in determining the right course of management. Techniques in strengthening the repair construct using augmentation play an important role in the treatment of this condition.

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Arthroscopic repair of large rotator cuff tears using the interval slide technique

Cited by 72 publications

References 15 publications

Lesões extensas do manguito rotador: avaliação dos resultados do reparo artroscópico

Lesões extensas do manguito rotador: avaliação dos resultados do reparo artroscópico

The Usefulness of all Arthroscopic Repair with Biceps Incorporation in Massive Sized Fullthickness Rotator Cuff Tears

Large/Massive Tears, Fatty Infiltration, and Rotator Cuff Muscle Atrophy: A Review Article With Management Options Specific to These Types of Cuff Deficiencies

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