Rotator cuff arthropathy is often associated with disabling pain and shoulder dysfunction. When non operative treatment options have failed, reverse shoulder replacement is usually indicated. Alternative treatment options may be prudent in younger patients, those with multiple co morbidities compromising surgical options, or those unable to comply with postoperative rehabilitation. There is lit...

Tendon transfer is one treatment option for patients with massive irreparable rotator cuff tears. Although surgical indications are not clearly defined, the traditional thought is that the ideal candidate is young and lacks significant glenohumeral arthritis. The proposed benefits of tendon transfers are pain relief and potential increase in strength. The biomechanical rationale for the procedu...

Whereas arthroscopic superior capsule reconstruction has recently been introduced to treat irreparable rotator cuff tears with encouraging outcomes, graft options and fixation remain debated. The purpose of this article is introduce a modified technique using the long head biceps tendon as augmentation for fascia lata autograft.

Introduction The massive irreparable tears of rotator cuff represents a debilitating condition for the patient as well as it is still an hard challenge to an orthopedic surgeon [1,2]. Treating these tears is an interesting and evolving issue due to the development of arthroscopic surgery and of the materials used for treatment. There are several surgical options for treating massive tears, amon...

Submit Manuscript | http://medcraveonline.com Abbreviations: CT: Computed Tomography; MRI: Magnetic Resonance Imaging; RCT: Rotator cuff tears; AHI: Acromio Humeral Interval; AP: Anterior Posterior; AC: Acromio Clavicular; NSAIDs: Non-Steroidal Anti-Inflammatory Drug; ECM: Extra Cellular Matrix; ASCR: Arthroscopic Superior Capsule Reconstruction; CTA: Cuff Tear Arthropathy; RTSA: Reverse Total ...

What are the indications for shoulder replacement surgery? The most common indication for shoulder replacement remains primary glenohumeral osteoarthritis. Other indications include complex proximal humeral fractures, rheumatoid arthritis and other inflammatory arthropathies, humeral head osteonecrosis, instability arthropathy, posttraumatic arthritis, chronic fixed glenohumeral dislocation, ro...

The repair of massive rotator cuff tears can be very challenging. Different surgical techniques are described in the literature, including debridement of the cuff with subacromial decompression, attempts at direct partial repair, various tendon transfers, shoulder hemiarthroplasty, reversed shoulder arthroplasty and allograft augmentation. Following favourable published evidence of the use of p...

Massive irreparable rotator cuff tears cause significant shoulder pain and dysfunction. Physical therapy (PT), arthroscopic debridement with biceps tenotomy (AD-BT), and hemiarthroplasty (HA) are treatments shown to reduce pain and improve quality of life. Reverse total shoulder arthroplasty (RTSA) is a newer surgical treatment option that may offer improved function. A cost-effectiveness analy...