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Rotator cuff tear and surgical repair. Benefits of surgery are unclear as of 2019. [10] Several instances when surgery may be recommended include: 20 to 30-year-old active person with an acute tear and severe functional deficit from a specific event [61] 30 to 50-year-old person with an acute rotator cuff tear secondary to a specific event [61]
As reverse shoulder replacement has become more popular, the indications have expanded to include shoulder “pseudoparalysis” due to massive rotator cuff tears, shoulder fractures, severe bone loss on the scapula or humerus precluding the use of standard implants and failed prior shoulder replacement procedures. [6]
An early expanded indication was primary osteoarthritis with loss of rotator cuff function. Massive irreparable rotator cuff tear without osteoarthritis has also been an accepted indication for a number of years, given numerous studies have reported good functional outcomes. Over the last 10 years the indications for RTSA have seen a huge ...
The rotator cuff compresses the glenohumeral joint during abduction of the arm, an action known as concavity compression, in order to allow the large deltoid muscle to further elevate the arm. In other words, without the rotator cuff, the humeral head would ride up partially out of the glenoid fossa, lessening the efficiency of the deltoid muscle.
Acromioplasty is an arthroscopic surgical procedure involving the acromion, a bony process of the shoulder blade.. Generally, it implies removal of a small piece of the surface of the acromion that is in contact with a tendon of the rotator cuff causing, by friction, damage to the tendon.
Over time, with enough force, a tear may develop in the labrum. The labrum is a rim of cartilage around the shoulder socket to help hold the head of the humerus (upper arm) in the joint. This condition is called a superior labrum anterior posterior (SLAP) lesion. The outcome in all these steps is the dead arm phenomenon.
This is particularly so if there is an associated rotator cuff injury. In such circumstances, it is suggested that labral debridement and biceps tenotomy is preferred. [14] SLAP (Superior Labral Tear, Anterior to Posterior) Type 1; Fraying of Superior Labrum; Biceps Anchor Intact; Type 2; Superior Labrum detached; Detachment of the Biceps ...
A 2022 review and meta-analysis showed improved patient-rated outcomes in patients with partial rotator cuff tears. At 8 weeks post injection, they found PRP to be effective. [28] A 2021 prospective study examined the effectiveness of PRP for partial thickness rotator cuff tears. Patients were given 2 separate PRP injections and followed for 2 ...