Treatment options for massive irreparable rotator cuff tears: a review of arthroscopic surgical options
1
Issued Date
2023-01-01
Resource Type
ISSN
23967544
eISSN
20585241
Scopus ID
2-s2.0-85150932377
Journal Title
EFORT Open Reviews
Volume
8
Issue
1
Start Page
35
End Page
44
Rights Holder(s)
SCOPUS
Bibliographic Citation
EFORT Open Reviews Vol.8 No.1 (2023) , 35-44
Suggested Citation
Hazra M.E.D., Hazra R.O.D., Hanson J.A., Ganokroj P., Vopat M.L., Rutledge J.C., Yamaura K., Suppauksorn S., Millett P.J. Treatment options for massive irreparable rotator cuff tears: a review of arthroscopic surgical options. EFORT Open Reviews Vol.8 No.1 (2023) , 35-44. 44. doi:10.1530/EOR-22-0015 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/82538
Title
Treatment options for massive irreparable rotator cuff tears: a review of arthroscopic surgical options
Author's Affiliation
Other Contributor(s)
Abstract
• While functional reconstruction of massive irreparable rotator cuff tears remains a challenge, current techniques aimed at recentering and preventing superior migration of the humeral head allow for clinical and biomechanical improvements in shoulder pain and function. • Recentering of the glenohumeral joint reduces the moment arm and helps the deltoid to recruit more fibers, which compensates for insufficient rotator cuff function and reduces joint pressure. • In the past, the concept of a superior capsular reconstruction with a patch secured by suture anchors has been used. • However, several innovative arthroscopic treatment options have also been developed. • The purpose of this article is to present an overview of new strategies and surgical techniques and if existing present initial clinical results. • Techniques that will be covered include rerouting the long head of the biceps tendon, utilization of the biceps tendon as an autograft to reconstruct the superior capsule, utilization of a semitendinosus tendon allograft to reconstruct the superior capsule, superior capsular reconstruction with dermal allografts, and subacromial spacers