Reversed arthroscopic subacromial decompression for massive rotator cuff tears

Scheibel, Markus; Lichtenberg, Sven; Habermeyer, Peter

doi:10.1016/j.jse.2004.01.007

Cited by 116 publications

(73 citation statements)

References 33 publications

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“…If sole debridement and acromioplasty do not suffice, a tuberoplasty might be an alternative or a good addition to treatment [56]. Described by Fenlin et al [57] in 2002, its main goal is to contour and reshape the greater tuberosity to create a smooth congruent articulation between the greater tuberosity of the humerus and the under surface of the acromion.…”

Section: Arthroscopic Debridement With or Without Long Head Of The Bimentioning

confidence: 99%

Options Before Reverse Total Shoulder Replacement

Hackney¹,

Lesniewski²,

Cowling³

2018

Advances in Shoulder Surgery

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Management of massive tears of the rotator cuff tears is one of the most difficult problems an upper limb surgeon encounters. Patients with similar tears can present with minimal discomfort through to a flail shoulder. There are a bewildering number of options available, many with published outcomes not always borne out in clinical practise. These range from rehabilitation, simple arthroscopic surgery, attempts at repair, complex tendon transfers and ultimately a reverse total shoulder replacement. More recently further options of patch augmentation and balloon arthroplasty have been added. This paper attempts to provide a critical assessment of the evidence available.

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Section: Arthroscopic Debridement With or Without Long Head Of The Bimentioning

confidence: 99%

Options Before Reverse Total Shoulder Replacement

Hackney¹,

Lesniewski²,

Cowling³

2018

Advances in Shoulder Surgery

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“…Intervention for stiffness (physiotherapy, arthroscopic release of contractures, and possible injection of hyaluronic acid analogues), roughness (arthroscopic debridement, tuberoplasty and acromioplasty) and other pain generators (subacromio-deltoid bursal injection therapy, synovectomy, acromioclavicular joint resection, LHBT tenoplasty, tenodesis and tenotomy) can all transform a decompensated shoulder into one that compensates very well for the RCT. [72][73][74][75] These interventions are often best performed arthroscopically, and constitute a 'conservative' approach of RCT surgery 76 . Arthroscopic decompression or selective imageguided blockade of the suprascapular nerve and lateral pectoral nerve can be useful adjuncts in gaining pain relief, and the former can be safely repeated using pulsed-radiofrequency treatment (with variable success rates).…”

Section: Treatment Specified By Patho-biomechanicsmentioning

confidence: 99%

Assessment and treatment strategies for rotator cuff tears

2014

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Tears of the rotator cuff are common and becoming an increasingly frequent problem. There is a vast amount of literature on the merits and limitations of the various methods of clinical and radiological assessment of rotator cuff tears. This is also the case with regard to treatment strategies. Certain popular beliefs and principles practiced widely and the basis upon which they are derived may be prone to inaccuracy. We provide an overview of the historical management of rotator cuff tears, as well as an explanation for how and why rotator cuff tears should be managed, and propose a structured methodology for their assessment and treatment.

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“…물론 간격 활주 (interval slide) 방 식을 통한 봉합이나 10,25) 건 이전술 9,16,22,39,40) , 혹은 인공관 절 치환술 32) 을 시행할 수도 있지만 어느 방법 하나 결과 를 예측하기가 힘들고 수술 또한 부담이 되는 것이 사실 이다. 충분한 유리술에도 불구하고 고령의 봉합이 불가 능한 파열의 경우에는 봉합술을 포기하고 단순 감압술 및 변연절제술 8,14,23,24,35) 또는 결절성형술 12,36,38) 을 시행하기 도 한다. 광범위 파열에 관절염이 동반된 근개 파열 관 절병증 (cuff rear arthropathy)에 대해서는 역행성 견관절 인공관절 전치환술 (reverse total shoulder arthroplasty)을 시행함으로써 삼각근의 근력을 통한 능동적 외전기능 회복을 기대하기도 한다 13,19) .…”

Section: 서 론unclassified

“…. 이에 대한 치료 방법의 선택은 단순 변 연절제술 8,14,23,24,35) 또는 결절성형술 12,36,38) , 국소 및 원위 건 이전술 9,16,22,39,40) , 동종 건 이식술 (tendon allograft) 및 synthetic fabrics를 이용한 재건술 31 …”

Section: 서 론unclassified

Debridement or Tuberoplasty for Massive Rotator Cuff Tear

Cho

Oh²,

Rhee

2010

The Journal of the Korean Shoulder and Elbow Society

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Purpose: The purpose of this article was to review the effectiveness of arthroscopic debridement and tuberoplasty, and to evaluate the clinical and radiologic results of our series for irreparable massive rotator cuff tears in the elderly. Materials and Methods:We reviewed articles that focused on the treatment options and decision making for irreparable massive rotator cuff tears. In particular, we summarized the reported results of arthroscopic debridement and tuberoplasty for irreparable massive rotator cuff tears in the elderly. Among consecutive patients who had arthroscopic tuberoplasty for irreparable massive rotator cuff tears in our series, thirty-two patients available for clinical and radiological evaluation at a mean follow-up of 29 months (range, 13-52 months) were enrolled and reviewed for the analysis. Results: At the last follow-up, the range of active forward flexion increased significantly with excellent pain relief and improvement in the ability to perform the activities of daily living. However, the group with less than 2 mm in preoperative acromiohumeral distance showed inferior postoperative results. Conclusion: Arthroscopic tuberoplasty may be an alternative option in irreparable massive rotator cuff tears for pain relief and improvement of range of motion. However, good results can not be expected if the acromiohumeral distance is less than 2 mm preoperatively and decreases postoperatively, or when the preoperative range of motion is less than 90 on flexion and abduction.

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Reversed arthroscopic subacromial decompression for massive rotator cuff tears

Cited by 116 publications

References 33 publications

Options Before Reverse Total Shoulder Replacement

Options Before Reverse Total Shoulder Replacement

Assessment and treatment strategies for rotator cuff tears

Debridement or Tuberoplasty for Massive Rotator Cuff Tear

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