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http://dx.doi.org/10.5397/CiSE.2010.13.1.161

Tendon Transfer for Irreparable Massive Rotator Cuff Tear  

Yum, Jae-K. (Department of Orthopaedic Surgery, Sang-gye Paik Hospital, Inje Univ.)
Lee, Hee-Sung (Department of Orthopaedic Surgery, Sang-gye Paik Hospital, Inje Univ.)
Park, Sung-Bum (Department of Orthopaedic Surgery, Sang-gye Paik Hospital, Inje Univ.)
Publication Information
Clinics in Shoulder and Elbow / v.13, no.1, 2010 , pp. 161-166 More about this Journal
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.
Keywords
Shoulder; Irreparable rotator cuff tear; Tendon transfer; Latissimus dorsi; Pectoralis major;
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