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in the decision-making process. Standard shoulder radiographs and MRI are common modalities. The patient cannot have radiographic indications of GH arthritis, and limited, Hamada stage 1 or 2, rotator cuff arthropathy. 19 This implies no
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active shoulder movement associated with rotator cuff tears without neurological impairment ( 6 , 7 ). In recent years, the most widely used definition of shoulder pseudoparalysis has been active forward elevation (AFE) of less than 90° with preserved
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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introduction in Europe in 1987 and in the United States in 2004. 2 The Grammont-style RSA has a 155 degree neck-shaft angle with a medialized glenoid and a medialized inlay humerus component. Initially, it was developed to treat rotator cuff arthropathy 3 but
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arthroplasty for massive irreparable rotator cuff tears and cuff tear arthropathy: a systematic review . Musculoskelet Surg 2017 ; 101 : 105 - 112 . 67. Sevivas N Ferreira N Andrade R . Reverse shoulder arthroplasty for
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Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland
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. ( 37 ). They looked at 27 patients (average age of 62 years; range: 42–74) with irreparable anterosuperior rotator cuff tears, without osteoarthritis or cuff arthropathy treated with partial subcoracoid pectoralis major tendon transfer. They reported
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Cuff index score was 59 ( SD = 20). Nine out of 12 patients developed cuff tear arthropathy and three needed arthroplasty. Discussion Rotator cuff repair using scaffolds is gradually gaining momentum and its application is expanding. 19
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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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Introduction The prevalence of rotator cuff tears (RCT) in the literature is reported to be between 22.1% ( 1 ) and 34% ( 2 ), with one-third of the reported RCTs being symptomatic and approximately one-fourth of these RCTs being massive
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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fibres, which may cause tear propagation, particularly if the remaining tendon is of poor quality, which, if progresses, may result in rotator cuff arthropathy ( 6 , 19 ). The superior capsule lies beneath the supraspinatus and is attached medially to
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rotator cuff tear arthropathy, the traditional treatment was HA. Unfortunately, HA for these indications provided unpredictable pain relief and little improvement in range of motion (ROM) or function. 4 In the 1970s, Beddow and Alloy were using a
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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
