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Rotator cuff Repair

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Surgical Atlas of Sports Orthopaedics and Sports Traumatology

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Abstract

Symptomatic partial or complete tear of the supraspinatus tendon associated with functional deficit and/or pain. Specific contraindications for repair include: tendon retraction medially > grade 3 (Patte), muscle atrophy > grade 3 (Thomazeau), fatty infiltration > grade 3 (Goutallier), concomitant advanced osteoarthritis of the shoulder and superior migration of the humeral head (rotator cuff arthropathy ) and upper brachial plexus lesions.

Arthroscopic refixation of the supraspinatus tendon (SSP) at the greater tuberosity with suture anchors.

  • Symptom-specific history: Patient complaints (Pain, weakness, limitation of the range of motion), previous shoulder trauma, duration of symptoms, previous treatment, sport and functional demands.

  • Symptom-specific examination: Inspection for atrophy of the supraspinatus and infraspinatus muscles, evaluation of the passive and active range of motion (pseudo-paralysis), Starter test, Jobe Test and signs of impingement.

Exclusion of suprascapular nerve and brachial plexus lesions.

  • X-rays of the shoulder in three views (true AP, y-view, axial) for evaluation of the bony status, degree of osteoarthritis, centering of the humeral head relative to the glenoid, exclusion of bony outlet impingement.

  • MRI (if necessary, with intra-articular contrast medium) to outline the tear pattern, evaluate the degree of tendon retraction, muscle atrophy and fatty muscle infiltration as well as exclusion of concomitant lesions.

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Authors and Affiliations

  1. Hospital Rechts der Isar, Technische Universität München, Department of Orthopaedic Sports Medicine, Ismaninger Street 22, 81675, Munich, Germany

    Mohamed Aboalata Dr. med.

  2. Department of Orthopaedic Sports Medicine, Hospital Rechts der Isar, Technische Universität München, Ismaninger Street 22, 81675, Munich, Germany

    Sepp Braun Dr. med.

  3. Department of Orthopaedic Sports Medicine, Hospital Rechts der Isar, Technische Universität München, Ismaninger Street 22, 81675, Munich, Germany

    Matthias J. Feucht Dr. med. & Nikolaus Rosenstiel

  4. Department of Sport traumatology- knee- and Shoulder Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Land-Str. 430, 60389, Frankfurt am Main, Germany

    Philipp Minzlaff Dr. med.

Authors
  1. Matthias J. Feucht Dr. med.
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  2. Sepp Braun Dr. med.
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  3. Philipp Minzlaff Dr. med.
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  4. Nikolaus Rosenstiel
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  5. Mohamed Aboalata Dr. med.
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Editor information

Editors and Affiliations

  1. Dept. of Orthopaedic Sports Medicine, Hospital Rechts der Isar, Munich, Germany

    Andreas B. Imhoff

  2. Dept. of Orthopaedic Sports Medicine, Hospital Rechts der Isar, München, Germany

    Matthias J. Feucht

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Feucht, M.J., Braun, S., Minzlaff, P., Rosenstiel, N., Aboalata, M. (2015). Rotator cuff Repair. In: Imhoff, A., Feucht, M. (eds) Surgical Atlas of Sports Orthopaedics and Sports Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43776-6_3

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  • DOI: https://doi.org/10.1007/978-3-662-43776-6_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43775-9

  • Online ISBN: 978-3-662-43776-6

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