Irreparable Tears: The Role for Debridement or Partial Rotator Cuff Repair

Management of massive, retracted rotator cuff tear repair is a difficult task without a consensus algorithm for treatment. Although nonoperative management is appropriate in certain patients, surgical treatment is advocated for younger, more active patients or those with persistent pain. Aggressive...

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Bibliographic Details
Published in:Operative techniques in sports medicine 2018-03, Vol.26 (1), p.24-28
Main Authors: Friel, Nicole A., Verma, Nikhil N.
Format: Article
Language:English
Subjects:
arthroscopic repair
Debridement
Joint surgery
massive tear
Pain
partial repair
Patients
Rotator cuff
rotator cuff tear
Shoulder
Studies
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Summary:Management of massive, retracted rotator cuff tear repair is a difficult task without a consensus algorithm for treatment. Although nonoperative management is appropriate in certain patients, surgical treatment is advocated for younger, more active patients or those with persistent pain. Aggressive surgical options such as rotator cuff repair with patch augmentation, tendon transfers, and reverse total shoulder arthroplasty are options for many patients in which complete anatomical repair of the massive rotator cuff tear is not always surgically possible because of poor tissue quality, tendon loss, severe retraction, or increased tension of the repair. Debridement of the rotator cuff or partial rotator cuff repair offer viable options for patients with goals of pain relief and improvement in range of motion. Although partial repair often does not restore full strength, most patients are satisfied with their overall improvement in function.
ISSN:1060-1872
1557-9794
DOI:10.1053/j.otsm.2017.10.004