دورية أكاديمية
Management of the Irreparable Rotator Cuff Tear.
| العنوان: | Management of the Irreparable Rotator Cuff Tear. |
|---|---|
| المؤلفون: | Cvetanovich GL; From the Ohio State University Wexner Medical Center, Columbus, OH (Dr. Cvetanovich), Wake Forest Baptist Health, Wake Forest University School of Medicine, Winston-Salem, NC (Dr. Waterman), Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL (Dr. Verma), and Rothman Institute, New York, NY (Dr. Romeo)., Waterman BR, Verma NN, Romeo AA |
| المصدر: | The Journal of the American Academy of Orthopaedic Surgeons [J Am Acad Orthop Surg] 2019 Dec 15; Vol. 27 (24), pp. 909-917. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 9417468 Publication Model: Print Cited Medium: Internet ISSN: 1940-5480 (Electronic) Linking ISSN: 1067151X NLM ISO Abbreviation: J Am Acad Orthop Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Philadelphia : Wolters Kluwer Original Publication: Rosemont, IL : American Academy of Orthopaedic Surgeons, c1993- |
| مواضيع طبية MeSH: | Plastic Surgery Procedures/*methods , Rotator Cuff Injuries/*surgery, Algorithms ; Disability Evaluation ; Humans ; Pain Measurement ; Range of Motion, Articular |
| مستخلص: | When evaluating patients with irreparable rotator cuff tears, orthopaedic surgeons have an increasingly wide array of surgical options, including both established techniques and emerging technologies. However, significant variability exists in the clinical evaluation and surgical indications in this subset, and definitions for pseudoparalysis and tear irreparability are inconsistent. In older patients with symptomatic rotator cuff arthropathy and relatively sedentary demands, the reverse total shoulder arthroplasty has been established as the preferred treatment option, producing reliable improvements in both pain and function. In younger patients without glenohumeral arthritis or pseudoparalysis, joint-preserving options are preferred, with recent literature highlighting alternative options including partial repair, bridging or interpositional graft placement, tendon transfers (ie, latissimus, trapezius, and pectoralis major), superior capsular reconstruction, and subacromial spacer placement. In this review article, we address the topic of irreparable rotator cuff tears, emphasizing the workup, indications for various treatment options, and clinical outcomes. |
| تواريخ الأحداث: | Date Created: 20190618 Date Completed: 20200325 Latest Revision: 20221207 |
| رمز التحديث: | 20240829 |
| DOI: | 10.5435/JAAOS-D-18-00199 |
| PMID: | 31206436 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1940-5480 |
|---|---|
| DOI: | 10.5435/JAAOS-D-18-00199 |