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International Orthopaedics

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01.12.2015 | Original Paper

Massive rotator cuff tears: definition and treatment

verfasst von: Alexandre Lädermann, Patrick J. Denard, Philippe Collin

Erschienen in: International Orthopaedics | Ausgabe 12/2015

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Abstract

Purpose

The aim of this review is to summarise tear pattern classification and management options for massive rotator cuff tears (MRCT), as well as to propose a treatment paradigm for patients with a MRCT.

Method

Data from 70 significant papers were reviewed in order to define the character of reparability and the possibility of alternative techniques in the management of MRCT.

Results

Massive rotator cuff tears (MRCT) include a wide panoply of lesions in terms of tear pattern, functional impairment, and reparability. Pre-operative evaluation is critical to successful treatment. With the advancement of medical technology, arthroscopy has become a frequently used method of treatment, even in cases of pseudoparalytic shoulders. Tendon transfer is limited to young patients with an irreparable MRCT and loss of active rotation. Arthroplasty can be considered for the treatment of a MRCT with associated arthritis.

Conclusion

There is insufficient evidence to establish an evidence-based treatment algorithm for MRCTs. Treatment is based on patient factors and associated pathology, and includes personal experience and data from case series.

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Titel: Massive rotator cuff tears: definition and treatment
verfasst von: Alexandre Lädermann
Patrick J. Denard
Philippe Collin
Publikationsdatum: 01.12.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 12/2015
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-2796-5

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Massive rotator cuff tears: definition and treatment

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