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Treatment Options for Irreparable Rotator Cuff Tears

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Shoulder Arthroscopy

Abstract

The treatment of massive rotator cuff tears still remains a challenge for the orthopedic surgeon: Their operative repair is technically difficult and associated with a higher recurrence rate than that of smaller tears. There is no consensus in the literature regarding the definition of a massive rotator cuff tear. Patte categorized rotator cuff tears based on its extent, topography in the sagittal and frontal plane, quality of the muscle, and state of the long head of the biceps tendon. Massive tears involve more than one tendon and at least 4 cm long in the sagittal plane, without (group III) or with (IV) humeral head osteoarthritis.

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Authors and Affiliations

  1. Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Piazza Carnaro 18, Rome, 00141, Italy

    Carmine Latte MD, Matteo Salvatore MD & Andrea Grasso MD

  2. Department of Orthopaedics, Ospedale Sacro Cuore, Via Don A. Sempreboni, 5, Negrar (VR), 37024, Italy

    Paolo Avanzi MD

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  1. Carmine Latte MD
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  2. Matteo Salvatore MD
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  3. Paolo Avanzi MD
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  4. Andrea Grasso MD
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Correspondence to Carmine Latte MD .

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Editors and Affiliations

  1. Department of Orthopaedics, Catholic University of Rome, Rome, Roma, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

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Latte, C., Salvatore, M., Avanzi, P., Grasso, A. (2014). Treatment Options for Irreparable Rotator Cuff Tears. In: Milano, G., Grasso, A. (eds) Shoulder Arthroscopy. Springer, London. https://doi.org/10.1007/978-1-4471-5427-3_27

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