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Postero-superior Rotator Cuff Tears

  • Patrick W. Kane
  • Jonas Pogorzelski
  • Erik M. Fritz
  • Peter J. Millett
Chapter

Abstract

The postero-superior rotator cuff is the most common location for full-thickness rotator cuff tears and leads to a significant amount of shoulder pain and disability annually. Advancements in arthroscopy and imaging have permitted improved identification of these tear patterns. Tears may be categorized as crescent, U-shaped, L-shaped, reverse-L-shaped or massive, contracted, immobile tears. The specific tear pattern is important as each pattern has a recommended treatment method based on biomechanical considerations.

Keywords

Supraspinatus, Infraspinatus, Rotator cuff repair 

Recommended Literature

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    Millett PJ, Warth RJ. Posterosuperior rotator cuff tears: classification, pattern recognition, and treatment. JAAOS. 2014;22(8):521–34.PubMedGoogle Scholar
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    Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of the level I randomized clinical trials. J Shoulder Elbow Surg. 2014;23(4):586–97.CrossRefGoogle Scholar
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    Greenspoon JA, Petri M, Warth RJ, Millett PJ. Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes. J Shoulder Elbow Surg. 2015;24(9):1493–505.CrossRefGoogle Scholar
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    Bhatia S, Greenspoon JA, Horan MP, Warth RJ, Millett PJ. Two-year outcomes after arthroscopic rotator cuff repair in recreational athletes older than 70 years. Am J Sports Med. 2015;43(7):1737–42.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Patrick W. Kane
    • 1
  • Jonas Pogorzelski
    • 2
  • Erik M. Fritz
    • 3
  • Peter J. Millett
    • 4
  1. 1.Department of Orthopedic SurgeryBeebe HealthcareLewesUSA
  2. 2.Department of Orthopaedic Sports MedicineTechnical University of MunichMunichGermany
  3. 3.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  4. 4.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

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