Acromial impression fracture of the greater tuberosity with massive rotator cuff tear: this need not be a nightmare!

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Massive rotator cuff tear.

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 ...

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Latissimus Dorsi Tendon Transfer With Acromial Osteotomy for Massive Irreparable Rotator Cuff Tear

Latissimus dorsi tendon transfer is an effective option for young and active patients with massive irreparable posterosuperior rotator cuff tears and intact subscapularis tendon. This approach has been shown to relieve pain and improve shoulder function in both the short and long term. We describe a surgical technique using an acromial osteotomy to better expose the greater tuberosity for the t...

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Irreducible acute anterior shoulder dislocation due to rotator cuff tear and associated fracture of the greater tuberosity: A method of open reduction and rotator cuff repair

A 67-year-old man sustained an anterior dislocation of his right shoulder following a fall down the stairs. He attended the Casualty Department 4 days after his injury. On examination he had no neurovascular injury. Radiographs confirmed anteroinferior dislocation of the shoulder with a comminuted fracture of the greater tuberosity (Fig. 1). Two attempts at closed reduction, under sedation, fai...

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Treatment of Massive Irreparable Rotator Cuff Tear with Arthroscopic Subacromial Bursectomy, Biceps Tenotomy, and Tuberoplasty

Background: The alternative surgery for massive and irreparable shoulder rotator cuff tears in older patients is thedebridement of subacromial bursa, biceps tenotomy, and tuberoplasty (reverse acromioplasty). This study aimed toreport the effectiveness of such a treatment performed arthroscopically in a small group of patients for a short periodof time.Methods: This pros...

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Cysts of the greater tuberosity can be a normal finding independent of age and concurrent rotator cuff tear. The presence of a large greater tuberosity cyst can present a challenge at the time of rotator cuff repair. We present a 1-step arthroscopic technique to address these defects at the time of rotator cuff repair using a synthetic graft (OsteoBiologics, San Antonio, TX) originally designed...

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ژورنال

عنوان ژورنال: Case Reports

سال: 2011

ISSN: 1757-790X

DOI: 10.1136/bcr.11.2010.3521