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methods. 1 While some individuals may maintain reasonable function after non-operative treatment of a ruptured DBT, biomechanical and clinical studies suggest that most individuals benefit from surficial repair or reconstruction. 2 Over the last
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better understand RCLs, and led to additions to historical descriptors. RCLs can be treated with a wide variety of approaches including non-operative management, open or arthroscopic repair and shoulder arthroplasty. Given this variability in management
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posterosuperior rotator cuff. Surgical repair was described in 1954, when Hauser reported two cases of full thickness tearing treated by an open suture repair via trans-osseous tunnels lateral to the biceps groove. 3 McLaughlin also mentioned subscapularis
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successfully treated in the short term with arthroscopic debridement alone, whereas grade 3 tears (> 6 mm depth) should be repaired. 1 , 2 However, PBRCTs should be approached more aggressively, with debridement for grade 1 tears only and with repair for
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origin that is required in treating the patient with a SLAP tear. The emerging role of biceps tenodesis for primary treatment of SLAP tears and also for failed SLAP repairs will be reviewed. Anatomy The vascular supply of the glenoid labrum arises
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figure increases for older patients. Moreover, 32% of patients suffering from traumatic shoulder injuries who could not abduct their arms above 90° had full-thickness RC tears ( 3 , 4 , 5 ). RC tears are repaired either by open, mini-open, or
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and treat. Patients undergoing rotator cuff repair (RCR) may require adjuvant distal clavicle resection (DCR) if they have signs of ACJ arthropathy ( 5 , 6 , 7 ), but DCR is not always recommended as it can cause pain, stiffness, instability, and
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high-risk for operative treatment. 11 In contrast to this general approach, there are publications advocating surgical treatment in partial ruptures, stating that conservative treatment may delay surgical repair and result in the need for late
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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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is often felt to be necessary to ‘balance’ both inferior ligaments during a soft tissue repair for instability. Laxity is a normal, physiologic and asymptomatic finding, that corresponds to translation of the humeral head in any direction to the
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synthetic scaffolds 10 , 11 were encouraging in preclinical studies, the results were not replicated in human studies. 12 – 15 In spite of the growing clinical use of scaffold devices for tendon repair, there are numerous questions related to their
