1. Management of rotator cuff tears.
- Author
-
Schmidt CC, Jarrett CD, and Brown BT
- Subjects
- Adult, Age Factors, Aged, Arthroscopy methods, Evidence-Based Medicine, Humans, Middle Aged, Postoperative Care, Prognosis, Recurrence, Reoperation, Risk Factors, Rotator Cuff pathology, Suture Techniques, Tendon Transfer methods, Tenodesis methods, Postoperative Complications surgery, Rotator Cuff surgery, Rotator Cuff Injuries
- Abstract
Every year approximately 18 million Americans report shoulder pain, a large percentage of which are a result of rotator cuff disease. Rotator cuff tear progression can be difficult to predict. Factors associated with tear enlargement include increasing symptoms, advanced age, involvement of 2 or more tendons, and rotator cable lesion. Nonsurgical treatment can be effective for patients with full-thickness tears. When conservative treatment fails, surgical repair provides a reliable treatment alternative. Recurrent tears after surgery can compromise outcomes, particularly for younger patients with physically demanding occupations. Revision surgery provides satisfactory results for those with symptomatic re-tears. If the tear is deemed irreparable, addressing concomitant biceps pathology or performing partial repairs can reliably improve pain and potentially reverse pseudoparalysis. The reverse shoulder arthroplasty has limited indications in the setting of rotator cuff tears and should be reserved for patients with painful pseudoparalysis and associated arthropathy., (Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)
- Published
- 2015
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