Massive rotator cuff tear.

@article{Huffman2013MassiveRC,
  title={Massive rotator cuff tear.},
  author={G. Russell Huffman and Anthony A. Romeo},
  journal={Orthopedics},
  year={2013},
  volume={36 8},
  pages={
          625-7
        }
}
Anthony A. Romeo, MD, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois. B C A A 72-year-old woman presents with chronic shoulder pain subsequent to a fall that has not responded to conservative treatment. She tells you that she “wants it fixed.” T2-weighted coronal (A) and sagittal (B) and T1-weighted sagittal (C) magnetic resonance images are provided. What would you do? 
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4 Citations

4 Citations

Citation Type

Citation Type

Repair of Large to Massive Rotator Cuff Tears in the Elderly Patients
From 1995 September to 2010 March, 147 patients aged 65years or over (40male, 107 female, with an average age of 69.6) undergoing surgical repair for large to massive full thick-ness rotator cuff…
Massive rotator cuff tears: definition and treatment
TLDR
There is insufficient evidence to establish an evidence-based treatment algorithm for MRCTs, and a treatment paradigm for patients with a MRCT is proposed based on patient factors and associated pathology, and includes personal experience and data from case series.
Treatment of large, massive irreparable rotator cuff tears
TLDR
The rotator cuff is a complex anatomical and biomechanical structure which allows stabilization of the shoulder joint in the correct position and movements in it and there is still no single approach and method in the treatment of this pathology.
Which Factors Influence Clinical Outcomes After Superior Capsular Reconstruction Surgery?
TLDR
Overall, clinical scores improved after ASCR in patients with massive irreparable rotator cuff tears, but the clinical outcome of the patients with preoperative subscapularis atrophy or postoperative lateral side retears was worse, and reoperation was often required.

References

SHOWING 1-7 OF 7 REFERENCES
Massive Tears of the Rotator Cuff
TLDR
It is only by reviewing pertinent information and matching it with personal experience that the surgeon can make appropriate treatment decisions.
Outcomes of arthroscopic rotator cuff repair in patients aged 70 years or older.
  • N. Verma, S. Bhatia, +4 authors A. Romeo
  • Medicine
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2010
Biomechanical and Biologic Augmentation for the Treatment of Massive Rotator Cuff Tears
TLDR
Improved understanding of the biologic degeneration and the biomechanical alterations of massive rotator cuff tears should provide better strategies to optimize outcomes, and there has been much interest in the development of a scaffold to bridge massive rotators cuff tears and adjuvant biologic modalities including growth factors and tenocyte-seeded scaffolds to augment tendon-to-bone healing.
Complications with reverse total shoulder arthroplasty and recent evolutions
TLDR
The purpose of this analysis is to identify the complications of this procedure in the literature and in clinical practice and to identify specific situations related to the type of implant such as the disassembly of the humeral or the glenoid component, dissociation of the polyethylene humeral plate, and osteolysis of the tuberosities.
Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease
TLDR
In short-term followup the RTSA relieves symptoms and restores function for patients with cuff tear arthropathy and irreparable rotator cuff tears with pseudoparalysis (preserved deltoid contraction but loss of active elevation).
Complications of the reverse prosthesis: prevention and treatment.
TLDR
Reverse total shoulder arthroplasty was developed in the late 1980s for elderly patients with rotator cuff arthropathy, and several biomechanical advantages result in improved deltoid function, which improves shoulder motion and function compared to other types of shoulder ar Throplasty.
Reverse Shoulder Arthroplasty for the Treatment of Irreparable Rotator Cuff Tear without Glenohumeral Arthritis