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Tendon transfers of the shoulder can be technically challenging, but if performed well can significantly improve the quality of a patient’s life. Surgical skill is essential, but just as important is proper patient selection. Despite advances in
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that in most patients already having a spontaneous tenotomy, the tendon is also not available ( 30 , 31 ). Finally, tendon transfer may restore power and function in non-repairable and dysfunctional tears ( 10 ). Tendon transfers for massive cuff
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Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland
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.e. not caused by pain), but further evidence is needed on this point. Tendon transfer The use of tendon transfers can be considered in younger patients to improve rotation if the rotator cuff tear is irreparable ( 28 ). There is limited evidence
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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N: –0.9 ± 5.3 mm vs. 4.0 ± 5.2 mm, P = .005; 40 N: 2.1 ± 6.6 mm vs. 6.0 ± 5.7 mm, P = .035). 31 However, similar to previous biomechanical observations regarding isolated conjoint tendon transfer in 20% glenoid defects, DAS leads to a relevant
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procedures such as subscapularis tendon transfer, hemiarthroplasty and TSA. Reverse Hill Sachs lesions > 25% of the humeral head articular surface in size are often unstable after closed reduction and also require surgical intervention. Open reduction and
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physiotherapy, partial repair, tendon transfer, superior capsular reconstruction (SCR), subacromial spacer (balloon) or even a reverse shoulder arthroplasty (RSA) depending on multiple factors, including: geography, surgeon experience, implant costs, etc
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reconstruction, tendon transfers, arthroplasty, or a combination of these options to restore function. The goal of this review was to clarify the definition of pseudoparalysis and pseudoparesis based on the current literature and to delineate the clinical
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School of Surgery, University of Western Australia, Perth, Australia
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anterior shoulder instability may benefit from tendon transfer procedures (e.g. latissimus dorsi) and are not suitable candidates for the Trillat procedure. Older individuals presenting with limited active forward elevation and external rotation are
Shoulder Unit, Department of Orthopaedics, Centro Hospitalar Universitário de Santo António, Hospital de Santo António, Porto, Portugal
Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto (ICBAS-UP), Porto, Portugal
Department of Orthopaedics, Hospital Lusíadas, Porto, Portugal
Shoulder and Elbow Unit, Hospital Lusíadas, Porto, Portugal
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Department of Orthopaedics, Hospital Lusíadas, Porto, Portugal
Shoulder and Elbow Unit, Hospital Lusíadas, Porto, Portugal
Department of Orthopaedics, Hospital da Luz Arrábida, Portugal
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( 6 , 8 , 9 ). Treatment options for MIRCTs depend on several factors, including patient age, activity level, the severity of joint arthropathy, and the degree of disability ( 6 ). Although partial repair, tendon transfer, and reverse total shoulder
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tendon transfer around the coracoid. 27 Most surgical procedures incorporate the use of metal hardware that could alter the biomechanics of the AC joint, which makes a second surgical intervention necessary for implant removal once the ligaments have