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last five years, on irreparable posterosuperior RCTs, anterosuperior RCTs and transfers with reverse total shoulder arthroplasty (RTSA). The following sections describe several different transfers in detail; however, a brief anatomical refresher
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Introduction One of the most challenging issues in shoulder surgery is the management of symptomatic irreparable rotator cuff tears (IRCTs). The literature reports that 12% of posterosuperior rotator cuff tears are irreparable. 1 The
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Faculty of Medicine Siriraj Hospital, Mahidol University
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The Steadman Clinic, Vail, Colorado, USA
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The Steadman Clinic, Vail, Colorado, USA
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irreparable rotator cuff tears (MIRCTs) ( 1 ). There are numerous clinical presentations of MIRCTs, ranging from pain or decreased range of motion to debilitating pseudoparalysis. First-line therapy for MIRCTs can be either non-operative or operative and is
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Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland
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prospective cohort multicentre study on 68 patients with irreparable rotator cuff tears who underwent non-operative management, including analgesia use, physical rehabilitation and subacromial corticosteroid injections ( 4 ). The CMS score improved
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Introduction Among rotator cuff tears, massive tears (MRCTs) present a particular challenge due to high rates of retear that can range from 18 to 94%, failure of healing after repair, and potential for irreparability with the consequent low
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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relief and good functional results ( 1 ). However, massive and irreparable RCTs (MIRCTs) are a significant challenge for patients and surgeons. Commonly defined as a full-thickness injury involving at least two tendons or measuring >5 cm in the coronal
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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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the coracoacromial ligament which, when resected, allows anterosuperior humeral head translation. 106 Surgical possibilities in case of irreparable rotator cuff lesions When facing impaired shoulder function in the presence of an
Dworska Hospital, Kraków, Poland
Hospital in Proszowice, Poland
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outcomes after the repair of massive and irreparable rotator cuff tears showed that partial repair with biceps augmentation increased the acromio-humeral distance (AHI) more significantly than partial repair alone ( 21 ). This finding supports the theory
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School of Surgery, University of Western Australia, Perth, Australia
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elevation, intact subscapularis function, and an irreparable posterosuperior cuff tear or greater tuberosity nonunion. Pseudoparalytic shoulders. Subscapularis tears. Isolated limited external rotation (ILER). Combined limited
Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece
Centre of Orthopaedics and Regenerative Medicine (CORE) – Centre of Interdisciplinary Research and Innovation (CIRI) – Aristotle University Thessaloniki, Greece
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Gennimatas General Hospital, Cholargos, Athens, Greece
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limited fatty infiltration of muscles. Chronic irreparable tears without atrophy and limited fatty infiltrated abductor tendons can be augmented with synthetic grafts or allografts. 10 , 56 Reconstruction techniques are salvage procedures for the
