Mobilization and Repair Techniques for the Massive Contracted Rotator Cuff Tear: Technique and Preliminary Results

摘要

Rotator cuff tears are a common cause of pain and disability.Arthroscopy and arthroscopic surgical techniques have greatly enhanced our understanding of rotator cuff tears and their treatment.Traditionally, many massive rotator cuff tears (>5 cm in greatest dimension as defined by DeOrio and Cofield) were regarded as irreparable. These cuff tears make up approximately 20% of all cuff tears and a considerably greater percentage (-80%) of recurrent rotator cuff tears.For these massive tears, the recommendation often included simple debride-ment.While debridement of massrve tears has been relatively successful in terms of pain relief, overhead function is often not an attainable goal, particularly in patients that do not have balanced force couples.