Irreparable rotator cuff tears: challenges and solutions.

Orthop Res Rev

Shoulder and Elbow Unit, "D. Cervesi" Hospital, AUSL della Romagna, Ambito Territoriale di Rimini, Rimini, Italy,

Published: December 2018

Irreparable rotator cuff tears are common conditions seen by shoulder surgeons, characterized by a torn and retracted tendon associated with muscle atrophy and impaired mobility. Direct fixation of the torn tendon is not possible due to the retracted tendon and lack of healing potential which result in poor outcome. Several treatment options are viable but correct indication is mandatory for a good result, pain improvement, and restoration of shoulder function. Patient can be treated either with a conservative program or surgically when necessary, by different available modalities like arthroscopic debridement, partial reconstruction, subacromial spacer, tendon transfer, and shoulder replacement with reverse prosthesis. The aim of this study was to review literature to give an overview of the available possible solutions, with indications and expected outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376460PMC
http://dx.doi.org/10.2147/ORR.S151259DOI Listing

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