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17.07.2020 | Surgical Management of Massive Irreparable Cuff Tears (J Sanchez-Sotelo, Section Editor) | Ausgabe 5/2020

Current Reviews in Musculoskeletal Medicine 5/2020

Factors Influencing the Reparability and Healing Rates of Rotator Cuff Tears

Zeitschrift:
Current Reviews in Musculoskeletal Medicine > Ausgabe 5/2020
Autoren:
Andrew R. Jensen, Adam J. Taylor, Joaquin Sanchez-Sotelo
Wichtige Hinweise
This article is part of the Topical Collection on Surgical Management of Massive Irreparable Cuff Tears

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Purpose of the Review

To discuss tear- and patient-related factors that influence the healing potential of rotator cuff tears and to clarify the terminology surrounding this topic.

Recent Findings

Over the last few years, further insight has been gained regarding rotator cuff tear features that are associated with poor healing rates after rotator cuff repair. Some of these features have been incorporated in prediction models developed to accurately predict rotator cuff healing rates utilizing preoperative risk factors weighted by importance.

Summary

Rotator cuff tears may be considered functionally irreparable based on their size, chronicity, absence of adequate tendon length, atrophy, and fatty infiltration. Furthermore, advanced age, use of tobacco products, diabetes, and other patient-related factors may impair tendon healing. Careful analysis and discussion of all these factors with patients is essential to determine if surgical repair of a rotator cuff tear should be recommended, or if it is best to proceed with one of the several salvage procedures reviewed in this topical collection, including augmentation of the repair, superior capsular reconstruction, tendon transfers, and other.

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