Search Results
Search for other papers by Maria E Dey Hazra in
Google Scholar
PubMed
Search for other papers by Rony-Orijit Dey Hazra in
Google Scholar
PubMed
Search for other papers by Jared A Hanson in
Google Scholar
PubMed
Faculty of Medicine Siriraj Hospital, Mahidol University
Search for other papers by Phob Ganokroj in
Google Scholar
PubMed
The Steadman Clinic, Vail, Colorado, USA
Search for other papers by Matthew L Vopat in
Google Scholar
PubMed
Search for other papers by Joan C Rutledge in
Google Scholar
PubMed
Search for other papers by Kohei Yamaura in
Google Scholar
PubMed
Search for other papers by Sunikom Suppauksorn in
Google Scholar
PubMed
The Steadman Clinic, Vail, Colorado, USA
Search for other papers by Peter J Millett in
Google Scholar
PubMed
-
While functional reconstruction of massive irreparable rotator cuff tears remains a challenge, current techniques aimed at recentering and preventing superior migration of the humeral head allow for clinical and biomechanical improvements in shoulder pain and function.
-
Recentering of the glenohumeral joint reduces the moment arm and helps the deltoid to recruit more fibers, which compensates for insufficient rotator cuff function and reduces joint pressure.
-
In the past, the concept of a superior capsular reconstruction with a patch secured by suture anchors has been used.
-
However, several innovative arthroscopic treatment options have also been developed.
-
The purpose of this article is to present an overview of new strategies and surgical techniques and if existing present initial clinical results.
-
Techniques that will be covered include rerouting the long head of the biceps tendon, utilization of the biceps tendon as an autograft to reconstruct the superior capsule, utilization of a semitendinosus tendon allograft to reconstruct the superior capsule, superior capsular reconstruction with dermal allografts, and subacromial spacers.
