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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(04): e489-e496
DOI: 10.1055/s-0044-1788784
Artigo de Atualização
Ombro e Cotovelo

Irreparable Cuff Injuries: Treatment Options and Clinical Outcomes

Article in several languages: português | English
José Carlos Souza Vilela 
1   Grupo de Cirurgia do Ombro, Hospital Unimed BH, Belo Horizonte, MG, Brasil
2   Grupo de Ombro, Hospital Mater Dei, Belo Horizonte, MG, Brasil
,
João Felipe de Medeiros Filho 
3   Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil
,
Tadeu Fonseca Barbosa 
1   Grupo de Cirurgia do Ombro, Hospital Unimed BH, Belo Horizonte, MG, Brasil
,
Lucas de Castro Melo Deligne 
1   Grupo de Cirurgia do Ombro, Hospital Unimed BH, Belo Horizonte, MG, Brasil
,
Thalles Leandro de Abreu Machado 
1   Grupo de Cirurgia do Ombro, Hospital Unimed BH, Belo Horizonte, MG, Brasil
› Author Affiliations Financial Support The authors declare that this study received no financial support from public, commercial, or not-for-profit sources.
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Abstract

Rotator cuff tear is a common source of pain and disfunction in shoulder, with prevalence increasing with age. Nonsurgical treatment is adequate for many patients; however, for those for whom surgical treatment is indicated, rotator cuff repair provides reliable pain relief and good functional results. However, massive and irreparable tears due to tear size, tendon retraction, muscle atrophy, fatty infiltration are a significant challenge for surgeons. Whenever irreparable tears coexist with cartilage degeneration/arthritis (rotator cuff arthropathy), the indication of reverse shoulder arthroplasty is the golden standard. However, in young patients without arthritis, joint preserving procedures, from debridement to muscle transfers, are preferred. Choosing the most appropriate treatment is not quite established in literature, each treatment modality present particular indications, advantages and disadvantages.

Keywords

outcome treatment - rotator cuff tear - shoulder

Work carried out at the Hospital Unimed BH, Belo Horizonte, MG, Brazil.




Publication History

Received: 23 February 2023

Accepted: 04 September 2023

Article published online:
04 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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