Current concepts in the primary management of irreparable posterosuperior rotator cuff tears without arthritis.

Lädermann, Alexandre; Collin, Philippe; Athwal, George S; Scheibel, Markus; Zumstein, Matthias; Nourissat, Geoffroy (2018). Current concepts in the primary management of irreparable posterosuperior rotator cuff tears without arthritis. EFORT open reviews, 3(5), pp. 200-209. The British Editorial Society of Bone & Joint Surgery 10.1302/2058-5241.3.180002

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Various procedures exist for patients with irreparable posterosuperior rotator cuff tears (IRCT). At present, no single surgical option has demonstrated clinical superiority.There is no panacea for treatment and patients must be aware, in cases of palliative or non-prosthetic options, of an alarming rate of structural failure (around 50%) in the short term.The current review does not support the initial use of complex and expensive techniques in the management of posterosuperior IRCT.Further prospective and comparative studies with large cohort populations and long-term follow-up are necessary to establish effectiveness of expensive or complicated procedures such as superior capsular reconstruction (SCR), subacromial spacers or biological augmentation as reliable and useful alternative treatments for IRCT. Cite this article: 2018;3 DOI: 10.1302/2058-5241.3.180002.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Zumstein, Matthias

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2058-5241

Publisher:

The British Editorial Society of Bone & Joint Surgery

Language:

English

Submitter:

Kathrin Aeschlimann

Date Deposited:

27 Jun 2019 13:01

Last Modified:

05 Dec 2022 15:29

Publisher DOI:

10.1302/2058-5241.3.180002

PubMed ID:

29951257

Uncontrolled Keywords:

biceps tenotomy irreparable rotator cuff tears latissimus dorsi transfer partial repair reverse arthroplasty shoulder subacromial spacer interposition superior capsular reconstruction

BORIS DOI:

10.7892/boris.131542

URI:

https://boris.unibe.ch/id/eprint/131542

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