Massive Rotator Cuff Tear Repair
Journal of the Korean Shoulder and Elbow Society
;
: 167-174, 2010.
Article
in Korean
| WPRIM
| ID: wpr-182271
ABSTRACT
PURPOSE:
Anatomical repair of massive rotator cuff tear has been technically challenging because of medial retraction, muscle atrophy and fatty degeneration. Among several treatment options for massive rotator cuff tear, we reviewed rotator cuff repairs and investigated modalities for improvement of clinical outcomes, decreasing the re-tear rate, and increasing healing. MATERIALS ANDMETHODS:
Patient-related factors and rotator cuff-related factors were the two major groups of factors we considered when choosing a treatment plan.RESULTS:
Mobilization of a massive rotator cuff tear was increased by soft tissue release and by the interval slide technique. After meticulous soft tissue release, anatomical repair could be achieved. If the injury was not amenable to anatomical repair, alternative treatment options such as partial repair, the margin convergence technique and augmentation with a tenotomized biceps tendon were considered. Many reports of massive rotator cuff repair demonstrated satisfactory clinical outcomes, decreased pain, recovery of shoulder functions, and increases in muscle strength. However, the re-tear rate had been reported to be relatively high in long-term follow-up.CONCLUSION:
Despite a high re-tear rate after massive rotator cuff repair, a better understanding of the pathogenesis, progression and clinical symptoms of massive rotator cuff tear and improved surgical materials and techniques will lead to satisfactory clinical outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shoulder
/
Tendons
/
Muscular Atrophy
/
Follow-Up Studies
/
Rotator Cuff
/
Muscle Strength
Type of study:
Observational study
/
Prognostic study
Language:
Korean
Journal:
Journal of the Korean Shoulder and Elbow Society
Year:
2010
Type:
Article
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