Massive rotator cuff tear.
نویسندگان
چکیده
Anthony A. Romeo, MD, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois. B C A A 72-year-old woman presents with chronic shoulder pain subsequent to a fall that has not responded to conservative treatment. She tells you that she “wants it fixed.” T2-weighted coronal (A) and sagittal (B) and T1-weighted sagittal (C) magnetic resonance images are provided. What would you do?
منابع مشابه
Treatment of Massive Irreparable Rotator Cuff Tear with Arthroscopic Subacromial Bursectomy, Biceps Tenotomy, and Tuberoplasty
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Massive rotator cuff tears are particularly challenging to treat and severely limit the function of the shoulder. Compared with a small rotator cuff tear, massive tears are more unpredictable and usually present with low tendon quality. When performing an anatomical repair of the rotator cuff, the surgical treatment is often associated with failure of the construct. An alternative procedure tha...
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Background and purpose - There is a need to understand the reasons why a high proportion of rotator cuff repairs fail to heal. Using data from a large randomized clinical trial, we evaluated age and tear size as risk factors for failure of rotator cuff repair. Patients and methods - Between 2007 and 2014, 65 surgeons from 47 hospitals in the National Health Service (NHS) recruited 447 patients ...
متن کاملWill Preoperative Atrophy and Fatty Degeneration of the Shoulder Muscles Improve after Rotator Cuff Repair in Patients with Massive Rotator Cuff Tears?
Recently, retear rate after repair for massive cuff tear have been improved through devised suture techniques. However, reported retear rate is relevant to preoperative atrophy and fatty degeneration. The purpose of this study was to investigate whether preoperative atrophy and fatty degeneration of rotator cuff muscles improve by successful repair. Twenty-four patients with massive rotator cuf...
متن کاملOperative Technique: Arthroscopic Repair of Massive Rotator Cuff Tears
Introduction Rotator cuff tears are a common cause of pain and disability. 2 With modern advances in arthroscopy and arthroscopic techniques, most rotator cuff tears can now be repaired arthroscopically, with several authors reporting successful results. However, the optimal management of massive rotator cuff tears is controversial and evolving. In general, a massive rotator cuff tear (MRCT) is...
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عنوان ژورنال:
- Orthopedics
دوره 36 8 شماره
صفحات -
تاریخ انتشار 2013