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Current Reviews in Musculoskeletal Medicine

Erschienen in:

10.02.2024

Surgical Management of Massive Irreparable Cuff Tears: Superior Capsule Reconstruction and Rotator Cable Reconstruction

verfasst von: Ignacio Pasqualini, Joseph C. Brinkman, John M. Tokish, Patrick J. Denard

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2024

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Abstract

Purpose of Review

Massive irreparable rotator cuff tears (MIRCTs) present treatment challenges. Recently, superior capsule reconstruction (SCR) and anterior cable reconstruction have emerged as surgical options, but no single approach is superior. This review provides an overview of SCR and cable reconstruction techniques, including biomechanical studies, clinical outcomes, and surgical considerations.

Recent Findings

Biomechanical studies show SCR with autografts or allografts improves glenohumeral stability and mechanics. Clinical outcomes of SCR demonstrate improved range of motion, function scores, and pain relief in short-term studies. Anterior cable reconstruction reduces superior humeral head translation and subacromial pressures in biomechanical models. Early clinical studies report improved rotator cuff healing and outcomes for cable reconstruction in specific irreparable tear patterns.

Summary

SCR and cable reconstruction are viable surgical options for MIRCTs based on early encouraging results. However, higher-level comparative studies with long-term follow-up are still needed. Careful consideration of tear pattern, patient factors, and surgical goals is required to optimize treatment of MIRCTs. Further research is necessary to determine the optimal role for these procedures.

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Titel: Surgical Management of Massive Irreparable Cuff Tears: Superior Capsule Reconstruction and Rotator Cable Reconstruction
verfasst von: Ignacio Pasqualini
Joseph C. Brinkman
John M. Tokish
Patrick J. Denard
Publikationsdatum: 10.02.2024
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 4/2024
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-024-09887-x

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