Tendon Transfer for Irreparable Massive Rotator Cuff Tear.
- Author:
Jae K YUM
1
;
Hee Sung LEE
;
Sung Bum PARK
Author Information
1. Department of Orthopaedic Surgery, Sang-gye Paik Hospital, Inje university, Seoul, South Korea. npy71@hanmail.net
- Publication Type:Review
- Keywords:
Shoulder;
Irreparable rotator cuff tear;
Tendon transfer;
Latissimus dorsi;
Pectoralis major
- MeSH:
Biomechanics;
Debridement;
Humans;
Rotator Cuff;
Shoulder;
Tendon Transfer;
Tendons
- From:Journal of the Korean Shoulder and Elbow Society
2010;13(1):161-166
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Irreparable massive rotator cuff tears pose a distinct clinical challenge for the orthopaedist and non-surgical treatment has had inconsistent results and proven unsuccessful for chronic symptoms, while surgery, including debridement and partial and complete repairs have had varying degrees of success. MATERIALS AND METHODS: For rotator cuff tears that are deemed irreparable, treatment options are limited. RESULTS AND CONCLUSION: The use of tendon transfers (latissimus dorsi for posterosuperior type cuff defects and pectoralis major for subscapularis defects) in younger patients to reconstruct rotator cuffs and re-establish function and restore shoulder kinematics can be useful in solving this difficult problem.