Pseudoparalysis: the importance of rotator cable integrity.
نویسندگان
چکیده
The purpose of this study was to clinically examine the relationship between rotator cable integrity and the presence of pseudoparalysis. A retrospective review was performed of a consecutive series of arthroscopic repairs of massive rotator cuff tears performed between January 2007 and June 2009. A total of 127 massive tears were identified. Group 1 comprised 24 patients with preoperative pseudoparalysis. Group 2 comprised 97 patients (103 repairs) with active forward flexion more than 90°. In group I, no patient maintained integrity of both rotator cable attachments; 1 rotator cable attachment was disrupted in 45.8% of cases; and both rotator cable attachments were disrupted in 54.2% of cases. In group II, both rotator cable attachments were intact in 22.3% of cases; 1 rotator cable attachment was disrupted in 62.1% of cases; and both rotator cable attachments were disrupted in 15.5% of cases. The difference in the distribution of cable attachments between the 2 groups was statistically significant (P<.001). Overall, preoperative pseudoparalysis predicted a disruption of both rotator cables with 88.8% specificity, 44.8% sensitivity, and 77.8% accuracy. Pseudoparalysis requires the disruption of at least 1 rotator cable attachment. This study reinforces the concept of rotator cable integrity and the ability of patients to maintain forward flexion above shoulder level and highlights the importance of reinforcing the rotator cable attachments in the repair of massive rotator cuff tears.
منابع مشابه
Functional evaluation of arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis☆☆☆
OBJECTIVE to evaluate the functional result from arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis, defined as incapacity to actively raise the arm above 90°, while complete passive elevation was possible. METHODS we reevaluated 38 patients with a mean follow-up of 51 months (minimum of 24). We analyzed the pseudoparalysis reversion rate and the functional result o...
متن کاملArthroscopic Superior Capsule Reconstruction Eliminates Pseudoparalysis in Patients with Irreparable Rotator Cuff Tears
This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...
متن کاملReverse arthroplasty of the shoulder for treating rotator cuff arthropathy☆☆☆
OBJECTIVE to present a retrospective analysis on the clinical-functional results and complications among patients with rotator cuff arthropathy (RCA) who underwent reverse arthroplasty of the shoulder. METHODS patients with a diagnosis of RCA associated with pseudoparalysis of anterior elevation who underwent reverse arthroplasty of the shoulder with a minimum follow-up of one year were selec...
متن کاملIrreparable Rotator Cuff Tears Without Arthritis Treated With Reverse Total Shoulder Arthroplasty
BACKGROUND Irreparable rotator cuff (RC) tears without arthritis is a challenging clinical problem in young adults. Reverse total shoulder arthroplasty (RTSA) has been proposed as one of the surgical treatment options for this condition. METHODS In this review, we discuss the current understanding of the role of RTSA for the management of irreparable RC tears without arthritis based on author...
متن کاملShoulder Replacement Surgery
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...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Orthopedics
دوره 35 9 شماره
صفحات -
تاریخ انتشار 2012