Massive Rotator Cuff Tears: Arthroplasty

Kim,  Myung Sun; Moon,  Eun Sun

doi:2010.13.1.132

Clin Shoulder Elb > Volume 13(1); 2010 > Article

Review

Journal of the Korean Shoulder and Elbow Society 2010;13(1):132-140.
DOI: https://doi.org/10.5397/CiSE.2010.13.1.132 Published online June 30, 2010.

Massive Rotator Cuff Tears: Arthroplasty

Myung Sun Kim, Eun Sun Moon

Department of Orthopaedic Surgery, Chonnam National University School of Medicine, Gwangju, Korea. esmoon@chonnam.ac.kr

광범위 회전근 개 파열에서 관절 성형술

김명선·문은선

전남대학교 의과대학 정형외과학교실

Abstract

PURPOSE
Surgical treatment of massive rotator cuff tear is challenging and there are various surgical options. The purpose of this article is to describe arthroplasty for the treatment of massive rotator cuff tear. MATERIALS AND METHODS: We reviewed all publications that focused on and/or mentioned arthroplasty as a treatment option for massive rotator cuff tear.
RESULTS
Arthroplasty can be used as primary treatment and represents a salvage option for irreparable rotator cuff tear. Hemi-arthroplasty can provide satisfactory results by Neer's limited goals criteria in patients with intact coracoacromial arch. In addition, reverse total shoulder arthroplasty can be a salvage option for pain relief and restoration of active flexion in elderly patients with pseudoparalysis.
CONCLUSION
In patients with massive rotator cuff tear, proper selection of arthroplasty can provide pain relief and restoration of functional range of motion in shoulder joints.

Key Words: Shoulder; Massive rotator cuff tear; Arthroplasty