Massive tears of the rotator cuff.

@article{Bedi2010MassiveTO,
  title={Massive tears of the rotator cuff.},
  author={Asheesh Bedi and Joshua S. Dines and Russell F. Warren and David M. Dines},
  journal={The Journal of bone and joint surgery. American volume},
  year={2010},
  volume={92 9},
  pages={
          1894-908
        }
}
  • A. Bedi, J. Dines, +1 author D. Dines
  • Published 4 August 2010
  • Medicine
  • The Journal of bone and joint surgery. American volume
Repair of massive rotator cuff tears is technically difficult but often feasible. Technical and biological challenges to a successful repair include inelastic poor-quality tendon tissue, scarring, muscle atrophy, and fatty infiltration. Fatty infiltration of the involved rotator cuff muscles has been identified as an important negative prognostic factor for the outcome after repair of massive rotator cuff tears. Tendon transfer is a good option for young patients and manual laborers with an… 
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The purpose of this article is to review treatment options and clinical outcomes for the management of massive rotator cuff tears.
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  • Medicine
    Textbook of Shoulder Surgery
  • 2019
TLDR
This chapter provides an overview of current treatment options for rotator cuff tears and summarizes ongoing research efforts to increase the number and success rates of available treatment options.
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TLDR
Older patients with chronic, massive rotator cuff tears with pseudoparalysis can achieve predictable, often excellent clinical results with a reverse total shoulder arthroplasty.
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TLDR
Imbalance of the force couples results in unstable kinematics of the glenohumeral joint, causing the remaining shoulder function to be sustained by a significantly increased compensatory deltoid force.
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TLDR
Current studies on the assessment and arthroscopic treatment of large-to-massive rotator cuff tears, whether repairable or irreparable, to aid in developing a consensus on future treatment directions are reviewed.
Treatment options for chronic retracted degenerative rotator cuff tears.
TLDR
The rationale behind each of these options, outcomes of various treatment approaches, and more are discussed to facilitate surgeons to successfully manage patients with retracted and degenerative tears of the rotator cuff.
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