The modified massive cuff stitch: functional and structural outcome in massive cuff tears

The modified massive cuff stitch: functional and structural outcome in massive cuff tears

BACKGROUND The massive cuff stitch (MCS) is known to be a strong suture, suitable for rotator cuff repair. We modified this technique for massive cuff tears by employing a horizontal medial mattress suture from an anchor as well as a vertically crossing transosseous suture. METHODS We included 42 patients with massive cuff tears suitable for repair: 22 were treated with the modified MCS (MCS ...

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...

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, ...

MASSIVE ROTATOR CUFF TEARS: Complex Repairs and Salvage Procedures

Massive Rotator Cuff Tears: Trends in Surgical Management.

Compared with smaller tears, massive rotator cuff tears present significant clinical management dilemmas for the treating surgeon because they are often fraught with structural failure and poor outcomes. To optimize healing, current surgical methods look to optimize footprint coverage and enhance the biological environment for healing. Double-row techniques have demonstrated clear biomechanical...