Woodmass, JBJS Rev 2018 - Arthroscopic Treatment of Massive Posterosuperior Rotator Cuff Tears

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Arthroscopic Treatment of Massive Posterosuperior Rotator Cuff Tears

Woodmass, Warner, et al.·JBJS Rev·2018·17 citations·Review article

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* Massive rotator cuff tears that are treated nonoperatively demonstrate increases in tear size, fatty infiltration, muscular atrophy, and arthritis. * The pooled retear rate following complete repair of massive rotator cuff tears is 79%. * Absorbable and nonabsorbable graft augmentation following rotator cuff repair can reduce the retear rate and improve functional outcomes. * Irreparable tears can be predicted preoperatively by evaluating the degree of fatty infiltration, muscular atrophy, and tendon length. * Latissimus dorsi transfer, lower trapezius transfer, and superior capsular reconstruction provide improvements in terms of pain, range of motion, and function in patients with irreparable tears.

Copyright remains with the authors and publisher.

Arthroscopic Treatment of Massive Posterosuperior Rotator Cuff Tears

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Arthroscopic Treatment of Massive Posterosuperior Rotator Cuff Tears

Woodmass, Warner, et al.·JBJS Rev·2018·17 citations·Review article

|

* Massive rotator cuff tears that are treated nonoperatively demonstrate increases in tear size, fatty infiltration, muscular atrophy, and arthritis. * The pooled retear rate following complete repair of massive rotator cuff tears is 79%. * Absorbable and nonabsorbable graft augmentation following rotator cuff repair can reduce the retear rate and improve functional outcomes. * Irreparable tears can be predicted preoperatively by evaluating the degree of fatty infiltration, muscular atrophy, and tendon length. * Latissimus dorsi transfer, lower trapezius transfer, and superior capsular reconstruction provide improvements in terms of pain, range of motion, and function in patients with irreparable tears.

Copyright remains with the authors and publisher.

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