Treatment of irreparable rotator cuff tear with dual graft reconstruction: a case report and technique description

نویسندگان

چکیده

Treatment options for massive irreparable rotator cuff tears (RCT) in younger active adult patients are those intended to induce a biologic response and provide mechanical effect. Cellular augmentation such as platelet-rich matrices stem cells may platform healing. The effect of superior capsule reconstruction, tendon transfers, bridging grafts mitigate migration the humerus stable fulcrum arm elevation. A novel treatment option an RCT young patient is combined reconstruction capsule. This construct utilizes dual that share common attachment laterally on tuberosity but separate attachments medially.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

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...

متن کامل

Arthroscopic Superior Capsule Reconstruction Technique in the Setting of a Massive, Irreparable Rotator Cuff Tear

Massive, irreparable rotator cuff tears are challenging to treat and associated with pain and severe limitation in shoulder elevation due to the proximal migration of the humeral head and, consequently, subacromial impingement. Furthermore, retraction of the tendons in combination with fat infiltration and muscular weakness results in unpredictable treatment outcomes. While conservative treatme...

متن کامل

Recurrent anterior shoulder dislocation with glenoid bone loss and concurrent irreparable rotator cuff tear in a young patient: case report.

Full-thickness rotator cuff tear associated with gleno-humeral anterior dislocation is a rare injury in patients younger than 40 years of age. We here report a case of recurrent anterior shoulder dislocation with glenoid bone loss and concurrent irreparable rotator cuff tear in a young patient. This is, to the best of our knowledge, the first such case reported in the literature. We also discus...

متن کامل

Irreparable Rotator Cuff Tears: Current Treatment Options

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 ...

متن کامل

Rotator Cuff Tear : Arthroscopic Treatment

Arthroscopic treatment of rotator cuff tears has become a routine procedure following a general trend toward using less invasive procedures. Proponents of this technique emphasize the decreased risk of complications such as infection, stiffness, and deltoid avulsions, whereas critics mention the lack of long-term studies, the controversy over the strength of fixation, and the technical challeng...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: JSES reviews, reports, and techniques

سال: 2023

ISSN: ['2666-6391']

DOI: https://doi.org/10.1016/j.xrrt.2023.04.007