Repairable massive rotator cuff injuries. Current concepts
DOI:
https://doi.org/10.1016/j.rccot.2016.09.006Keywords:
Repairable Massive Rotator Cuff Injuries, Surgical Technique, Patient Selection, Rehabilitation ProtocolAbstract
Massive rotator cuff injuries are one of the biggest challenges today, mainly in defining treatment. Determine which constitutes a massive reparable injury is clinically and radiologically difficult, and therefore is often arbitrary. The results with nonsurgical conservative treatment are inconsistent and there is variability of successful outcomes with surgical treatment. Diagnostic imaging can confirm the diagnosis of rupture, helping to define the size and characteristics of the injurie, information necessary to establish both the treatment plan and prognosis of the injurie. The success of surgery treatment is related to a proper selection of the patient and the most appropriate surgical technique on an individual basis. Currently repair techniques have evolved to a point of being able to repair most of these breakups. Often associated pathology and rehabilitation of these patients already has a defined protocol.
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