Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes

Joshua A Greenspoon; Maximilian Petri; Ryan J Warth; Peter J Millett

doi:10.1016/j.jse.2015.04.005

Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes

J Shoulder Elbow Surg. 2015 Sep;24(9):1493-505. doi: 10.1016/j.jse.2015.04.005. Epub 2015 Jun 28.

Authors

Joshua A Greenspoon¹, Maximilian Petri², Ryan J Warth³, Peter J Millett⁴

Affiliations

¹ Steadman Philippon Research Institute, Vail, CO, USA; University of Miami Miller School of Medicine, Miami, FL, USA.
² Steadman Philippon Research Institute, Vail, CO, USA; The Steadman Clinic, Vail, CO, USA.
³ Steadman Philippon Research Institute, Vail, CO, USA.
⁴ Steadman Philippon Research Institute, Vail, CO, USA; The Steadman Clinic, Vail, CO, USA. Electronic address: drmillett@thesteadmanclinic.com.

PMID: 26129871
DOI: 10.1016/j.jse.2015.04.005

Abstract

Rotator cuff tear size has an important effect on clinical outcomes after repair. Management options for massive rotator cuff tears are numerous, and selection of the most appropriate treatment method for individual patients can be a challenge. An understanding of the pathomechanics, treatment, and clinical outcomes in patients with massive rotator cuff tears can serve as a guide for clinical decision-making. The purpose of this article was to review treatment options and clinical outcomes for the management of massive rotator cuff tears.

Keywords: Rotator cuff; clinical outcomes; massive rotator cuff tears; repair.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Algorithms
Biomechanical Phenomena
Humans
Rotator Cuff / physiopathology*
Rotator Cuff / surgery*
Rotator Cuff Injuries
Tendon Injuries / physiopathology*
Tendon Injuries / surgery
Tendon Injuries / therapy*
Treatment Outcome
Wound Healing