Irreparable supraspinatus tendon tears are challenging to treat, especially in a young and high-demanding patient population. Whereas interposition tendon grafting and partial repair are limited by the quality of the remaining rotator cuff tendons and muscles, superior capsular reconstruction and subacromial spacers do not provide the active biomechanical principle of a contracting supraspinatus. The purpose of this technical note is to introduce an arthroscopic middle trapezius transfer below the acromion to replace the former supraspinatus unit. This technique might combine the benefits of both the static concepts seen with subacromial spacers or superior capsular reconstruction and dynamic concepts such as interposition grafting and partial repairs.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917386 | PMC |
| http://dx.doi.org/10.1016/j.eats.2020.10.044 | DOI Listing |
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- Rotator cuff tears are common among middle-aged and elderly individuals, impacting shoulder function and stability, and can result from both acute injuries and chronic wear.
- The review aims to compare surgical and non-surgical treatment options, revealing that while surgery typically yields better long-term outcomes, non-surgical methods like physical therapy can also be effective for smaller tears.
- Treatment decisions should be personalized, taking into account the tear size, patient demographics, and health status, as surgical options, despite higher upfront costs, often lead to better long-term results.
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