Defining massive rotator cuff tears: a Delphi consensus study

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Massive tears of the rotator cuff.

Repair of massive rotator cuff tears is technically difficult but often feasible. Technical and biological challenges to a successful repair include inelastic poor-quality tendon tissue, scarring, muscle atrophy, and fatty infiltration. Fatty infiltration of the involved rotator cuff muscles has been identified as an important negative prognostic factor for the outcome after repair of massive r...

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Treatment options for massive rotator cuff tears.

Various classifications of rotator cuff tears have been proposed. Many authors currently define a tear as massive if there is a detachment of at least 2 complete tendons. Whereas small tears can occur without symptoms, massive tears are always associated with weakness and, especially in young patients, often with painful disability. Massive tears are only rarely due to an acute injury; rather, ...

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Suprascapular Neuropathy Associated with Massive Rotator Cuff Tears: a Rationale for Arthroscopic Rotator Cuff Repair

INTRODUCTION Massive rotator cuff tears may be present in patients with minimal pain and good function, or in patients with significant pain and disability.5,6,14,26 In the latter case, arthroscopic repair, either partial or complete, has been demonstrated to improve function.3,11,20,21 The mechanism of recovery is believed to be associated with an improved rotator cuff function due to at least...

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Preliminary Results of a Consecutive Series of Large & Massive Rotator Cuff Tears Treated with Arthroscopic Rotator Cuff Repairs Augmented with Extracellular Matrix

 Background: Recurrence rate of rotator cuff tears is still high despite the improvements of surgical techniques, materials used and a better knowledge of the healing process of the rotator cuff tendons. Large to massive rotator cuff tears are particularly associated with a high failure rate, especially in elderly. Augmentation of rotator cuff repairs with extracellular matrix or synthetic patc...

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ژورنال

عنوان ژورنال: Journal of Shoulder and Elbow Surgery

سال: 2020

ISSN: 1058-2746

DOI: 10.1016/j.jse.2019.10.024