Decision-making in massive rotator cuff tear

被引:24
作者
Thes, Andre [1 ]
Hardy, Philippe [1 ]
Bak, Klaus [2 ]
机构
[1] Hop Ambroise Pare, AP HP, F-92100 Boulogne, France
[2] Teres Hosp Parken, Copenhagen, Denmark
关键词
Rotator cuff/injuries; Shoulder joint/patophysiology; Rotator cuff/surgery; Shoulder pain/surgery; ARTHROSCOPIC SUBACROMIAL DECOMPRESSION; TOTAL SHOULDER ARTHROPLASTY; DORSI TENDON TRANSFER; TERES MAJOR TRANSFER; LATISSIMUS-DORSI; FOLLOW-UP; LONG-HEAD; SUPRASCAPULAR NERVE; PECTORALIS MAJOR; ELECTROMYOGRAPHIC ANALYSIS;
D O I
10.1007/s00167-014-3470-y
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Treatment of massive rotator cuff tears has developed over many years ranging from conservative treatment to open and arthroscopic repair, muscle transfers and reversed arthroplasty. The evolution of more advanced techniques in arthroscopic repair has changed the treatment approach and improved the prognosis for functional outcome despite low healing rates. Due to this rapid development, our evidence-based knowledge today is mainly founded in Level 3 and Level 4 studies. Based on the literature, the current knowledge on treatment of symptomatic massive rotator cuff tears is proposed in an algorithm. Level of evidence V.
引用
收藏
页码:449 / 459
页数:11
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