Results of Arthroscopic Partial Repair of Large Retracted Rotator Cuff Tears

Wellmann, Mathias; Lichtenberg, Sven; Silva, Gaspar da; Magosch, Petra; Habermeyer, Peter

doi:10.1016/j.arthro.2013.05.006

Cited by 66 publications

(42 citation statements)

References 33 publications

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“…7,14,20) Also, there was a trend toward a decrease in the acromiohumeral distance. 14,20) Finally, most of the studies had relatively short term follow-up.…”

Section: Appropriate Indications and Limitations Of Partial Repair Inmentioning

confidence: 99%

“…7,9,14,18,20) Interestingly, these studies included only posterosuperior rotator cuff tears and their subscapularis was relatively intact (intact or not requiring repair) or reparable. Thus, based on their favorable outcomes, the integrity of the subscapularis (either before or after) seems to be important to convert to "functional rotator cuff tear" in the posterosuperior rotator cuff tears.…”

Section: Appropriate Indications and Limitations Of Partial Repair Inmentioning

confidence: 99%

“…Although the strength of the active forward flexion or abduction of the affected side significantly improved after surgery, it was not restored to the same level as the contralateral side. Recently, Wellmann et al 20) documented favorable outcomes after arthroscopic partial repair of large retracted rotator cuff tears. The overall shoulder scores including active range of motion (ROM) for forward flexion and abduction significantly improved.…”

mentioning

confidence: 99%

“…In partial repair status, however, the remaining rotator cuff is placed under overload and may result in early muscle fatigue. 20) Hansen et al 22) revealed in their in vitro study that as the tear size increased, a strong increase of the intact tendon load was identified. Kim et al 14) also noted that functional shoulder scores…”

mentioning

confidence: 99%

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Arthroscopic Partial Repair of Massive Contracted Rotator Cuff Tears

Kim¹,

Kim²,

Chun³

2014

Clin Shoulder Elbow

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Typically, massive rotator cuff tears have stiff and retracted tendon with poor muscle quality, in such cases orthopaedic surgeons are confronted with big challenging to restore the cuff to its native footprint. Furthermore, even with some restoration of the footprint, it is related with a high re-tear rate due to less tension free repair and less tendon coverage. In this tough circumstance, the partial repair has yielded satisfactory outcomes at relatively short follow-up by re-creating the transverse force couple of the rotator cuff. Through this partial repair, the massive rotator cuff tear can be converted to the "functional rotator cuff tear" and provide improvement in pain and functional outcomes in patient's shoulder. (Clin Shoulder Elb 2014;17(1):44-47)

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“…7,14,20) Also, there was a trend toward a decrease in the acromiohumeral distance. 14,20) Finally, most of the studies had relatively short term follow-up.…”

Section: Appropriate Indications and Limitations Of Partial Repair Inmentioning

confidence: 99%

Section: Appropriate Indications and Limitations Of Partial Repair Inmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopic Partial Repair of Massive Contracted Rotator Cuff Tears

Kim¹,

Kim²,

Chun³

2014

Clin Shoulder Elbow

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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

175

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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