Tuberoplasty: Creation of an acromiohumeral articulation—a treatment option for massive, irreparable rotator cuff tears

Fenlin, John M.; Chase, Jeffrey M.; Rushton, Scott A.; Frieman, Barbara G.

doi:10.1067/mse.2002.121764

Cited by 124 publications

(73 citation statements)

References 21 publications

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“…Chronic tears may give rise to tendon retraction, atrophy and fatty degeneration of the affected muscle [13], leading to impaired muscle quality and, often, to defective contraction, which renders bone reattachment ineffective. In such cases, the therapeutic options include arthroscopic debridement [10], acromioplasty [17], biceps tenodesis [20], cuff fixation to avoid progression [5], tuberoplasty [9], tendon transfer [1-3, 6, 11, 12, 15, 19, 21, 22] and tendon graft.…”

Section: Introductionmentioning

confidence: 99%

Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff

Zafra

Carpintero

Carrasco

2008

International Orthopaedics (SICOT)

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The objective of this paper was to determine the outcome of the transfer of the latissimus dorsi tendon in patients with massive irreparable rotator cuff tears. Eighteen patients of mean age 54 years (range 37-72 years) with massive irreparable rotator cuff tears were studied. The mean follow-up was 28 months (range 12-58 months). The postoperative Constant score was higher by an average of 21.15 points compared to the preoperative score (P=0.002); 88.8% of patients reported significant pain relief and improved mobility, particularly on external rotation. Postoperative resting antero-posterior radiography in neutral rotation revealed a mean 3.2-mm depression of the humeral head, due to the tenodesis effect of tendon transfer, thus, increasing the deltoid lever arm. These clinical results suggest that latissimus dorsi transfer is a useful surgical technique for treating massive irreparable postero-superior tears of the rotator cuff in young and/or active patients, providing significant pain relief and improved shoulder strength.

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Section: Introductionmentioning

confidence: 99%

Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff

Zafra

Carpintero

Carrasco

2008

International Orthopaedics (SICOT)

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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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“…When performed, the integrity of the coracoacromial ligament must be preserved to prevent humeral head anterosuperior escape [106]. In an effort to maintain the coracoacromial arch, Fenlin et al [107] described open debridement and tuberoplasty, reshaping the greater tuberosity and allowing it to smoothly articulate with the acromion. An alternative described by Scheibel et al [106] involves debridement of the subacromial space and glenohumeral joint, with an associated arthroscopic tuberoplasty.…”

Section: Treatmentmentioning

confidence: 99%