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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 27, Issue 12, pp 4038–4048 | Cite as

Low level of evidence for all treatment modalities for irreparable posterosuperior rotator cuff tears

  • Bauke KooistraEmail author
  • Navin Gurnani
  • Alexander Weening
  • Michel van den Bekerom
  • Derek van Deurzen
SHOULDER
  • 164 Downloads

Abstract

Purpose

This systematic review assesses evidence for improvements in outcome for all reported types of treatment modalities [physical therapy, tenotomy or tenodesis of the long head of the biceps, debridement, partial repair, subacromial spacer, deltoid flap, muscle transfer, rotator cuff advancement, graft interposition, superior capsular reconstruction (SCR), and reversed shoulder arthroplasty (RSA)] used for irreparable posterosuperior rotator cuff tears without glenohumeral osteoarthritis. The primary aim was to be able to inform patients about expectations of the amount of clinical improvement after these treatments.

Methods

A systematic search was conducted in MEDLINE, EMBASE, CINAHL, and Cochrane databases for studies on irreparable posterosuperior rotator cuff lesions without glenohumeral osteoarthritis, published from January 2007 until January 2019, with minimum 2-year follow-up. Studies with pre-operative and/or intra-operative determination of cuff tear irreparability were included. We defined the non-adjusted Constant Score as the primary outcome.

Results

Sixty studies (2000 patients) were included with a fair mean quality score, according to the Modified Coleman Methodology Score. The employed definitions of ‘irreparable’ were mainly based on MRI criteria and were highly variable among studies. The smallest weighted mean preoperative to post-operative improvements in Constant Score were reported for biceps tenotomy/tenodesis (10.7 points) and physical therapy (13.0). These were followed by debridement (21.8) and muscle transfer (27.8), whereas the largest increases were reported for partial repair (32.0), subacromial spacer (32.5), rotator cuff advancement (33.2), RSA (34.4), graft reconstruction (35.0), deltoid flap (39.8), and SCR (47.4). Treatment using deltoid flap showed highest mean weighted improvement in Constant Score among studies with available medium-term (4–5-year) follow-up. Treatments deltoid flap, muscle transfer, and debridement were the only treatments with available long-term (8–10-year) follow-up and showed similar improvements in Constant Score at this time point.

Conclusion

The variability in patient characteristics, co-interventions, outcome reporting, and length of follow-up in studies on irreparable rotator cuff tears without osteoarthritis complicates sound comparison of treatments. Clinically important treatment effects were seen for all 11 different treatment modalities.

Level of evidence

IV.

Keywords

Irreparable rotator cuff tear Reversed shoulder arthroplasty Balloon spacer Graft Muscle transfer Superior capsular reconstruction Biceps Partial repair Tuberoplasty Deltoid flap 

Abbreviations

MRI

Magnetic resonance imaging

SCR

Superior capsular reconstruction

RSA

Reversed shoulder arthroplasty

MCMS

Modified Coleman Methodology Score

MICD

Minimal clinically important difference

ASES

American Shoulder and Elbow Surgeons Score

UCLA

University of California at Los Angeles score

VAS

Visual Analogue Scale

SD

Standard deviation

NR

Not reported

Notes

Author contributions

BK designed the study, performed the literature search, performed the analysis, and wrote the manuscript. NG performed the literature search and helped to draft the manuscript. AW participated in study design and helped to draft the manuscript. MB participated in study design and coordination and helped to draft the manuscript. DD participated in study design and coordination and helped to draft the manuscript. All authors read and approved the final manuscript.

Funding

No funding was received for the present study.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest.

Ethical approval

No ethical approval was sought, as this was a review study.

Supplementary material

167_2019_5710_MOESM1_ESM.docx (13 kb)
Supplementary material 1 (DOCX 13 kb)
167_2019_5710_MOESM2_ESM.xlsx (81 kb)
Supplementary material 2 (XLSX 80 kb)
167_2019_5710_MOESM3_ESM.docx (20 kb)
Supplementary material 3 (DOCX 19 kb)

References

  1. 1.
    Amstutz HC, Sew Hoy AL, Clarke IC (1981) UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 155:7–20Google Scholar
  2. 2.
    Badhe SP, Lawrence TM, Smith FD, Lunn PG (2008) An assessment of porcine dermal xenograft as an augmentation graft in the treatment of extensive rotator cuff tears. J Shoulder Elbow Surg 17(1 Suppl):35S–39SPubMedGoogle Scholar
  3. 3.
    Basat HÇ, Kirçil C, Armangil M, Demirtş M (2017) Treatment alternative for irreparable rotator cuff ruptures: arthroscopic biodegradable balloon. Niger J Clin Pract. 20(8):952–957PubMedGoogle Scholar
  4. 4.
    Boileau P, Baba M, McClelland WB Jr, Thélu CE, Trojani C et al (2018) Isolated loss of active external rotation: a distinct entity and results of L’Episcopo tendon transfer. J Shoulder Elbow Surg 27(3):499–509PubMedGoogle Scholar
  5. 5.
    Boileau P, Baqué F, Valerio L et al (2007) Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff tears. J Bone Joint Surg Am 89(4):747–757Google Scholar
  6. 6.
    Boileau P, Gonzalez J, Chuinard C, Bicknell R, Walch G (2009) Reverse total shoulder arthroplasty after failed rotator cuff surgery. J Shoulder Elbow Surg 18(4):600–606PubMedGoogle Scholar
  7. 7.
    Castricini R, De Benedetto M, Familiari F, De Gori M, De Nardo P et al (2016) Functional status and failed rotator cuff repair predict outcomes after arthroscopic-assisted latissimus dorsi transfer for irreparable massive rotator cuff tears. J Shoulder Elbow Surg 25(4):658–665PubMedGoogle Scholar
  8. 8.
    Cavalier M, Jullion S, Kany J, Grimberg J, Lefebvre Y et al (2018) Management of massive rotator cuff tears: prospective study in 218 patients. Orthop Traumatol Surg Res. 104(8S):S193–S197PubMedGoogle Scholar
  9. 9.
    Chen K, Chiang E, Wang H, Ma H (2017) Arthroscopic partial repair of irreparable rotator cuff tears: factors related to greater degree of clinical improvement at 2 years of follow-up. Arthroscopy 33(11):1949–1955PubMedGoogle Scholar
  10. 10.
    Cohen J (1968) Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 70(4):213–220PubMedGoogle Scholar
  11. 11.
    Coleman B, Khan K, Maffulli N, Cook J, Wark J (2000) Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Scand J Med Sci Sport. 10(1):2–11Google Scholar
  12. 12.
    Collin PG, Gain S, Nguyen Huu F, Ladermann A (2015) Is rehabilitation effective in massive rotator cuff tears? Orthop Traumatol Surg Res. 101(4 Suppl):S203–S205PubMedGoogle Scholar
  13. 13.
    Costouros JG, Espinosa N, Schmid MR, Gerber C (2007) Teres minor integrity predicts outcome of latissimus dorsi tendon transfer for irreparable rotator cuff tears. J Shoulder Elbow Surg 16(6):727–734PubMedGoogle Scholar
  14. 14.
    Cuff DJ, Pupello DR, Santoni BG (2016) Partial rotator cuff repair and biceps tenotomy for the treatment of patients with massive cuff tears and retained overhead elevation: midterm outcomes with a minimum 5 years of follow-up. J Shoulder Elbow Surg 25(11):1803–1809PubMedGoogle Scholar
  15. 15.
    De Casas R, Lois M, Cidoncha M, Valadron M (2014) Clinic and electromyographic results of latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears. J Orthop Surg Res. 9:83PubMedPubMedCentralGoogle Scholar
  16. 16.
    De Campos Azevedo C, Ângelo ACLPG, Vinga S (2018) Arthroscopic superior capsular reconstruction with a minimally invasive harvested fascia lata autograft produces good clinical results. Orthop J Sports Med. 6(11):2325967118808242Google Scholar
  17. 17.
    Di Benedetto ED, Di Benedetto P, Fiocchi A, Beltrame A, Causero A. (2017) Partial repair in irreparable rotator cuff tear: Our experience in long-term follow-up. Acta Biomed 88(4-S):69–74Google Scholar
  18. 18.
    El-Azab H, Rott O, Irlenbusch U (2015) Long-term follow-up after latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears. J Bone Joint Surg Am 97(6):462–469PubMedGoogle Scholar
  19. 19.
    Elhassan BT, Alentorn-Geli E, Assenmacher AT, Wagner ER (2016) Arthroscopic-assisted lower trapezius tendon transfer for massive irreparable posterior-superior rotator cuff tears: surgical technique. Arthrosc Tech 5(5):e981–e988PubMedPubMedCentralGoogle Scholar
  20. 20.
    Eljabu W, Klinger H, von Knoch M (2015) The natural history of rotator cuff tears: a systematic review. Arch Orthop Trauma Surg 135(8):1055–1061PubMedGoogle Scholar
  21. 21.
    Ernstbrunner L, Andronic O, Grubhofer F, Camenzind RS, Wieser K et al (2019) Long-term results of reverse total shoulder arthroplasty for rotator cuff dysfunction: a systematic review of longitudinal outcomes. J Shoulder Elbow Surg 28(4):774–781.  https://doi.org/10.1016/j.jse.2018.10.005 CrossRefPubMedGoogle Scholar
  22. 22.
    Favard L, Berhouet JF, Colmar MF, Boukobza E, Richou J, et al. (2009) Massive rotator cuff tears in patients younger than 65 years. What treatment options are available? Orthop Traumatol Surg Res 95(4 Suppl 1):S19–S26Google Scholar
  23. 23.
    Fuchs B, Weishaupt DF, Zanetti MF, Hodler JF, Gerber C (1999) Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging. J Shoulder Elbow Surg 8(6):599–605Google Scholar
  24. 24.
    Gupta AK, Hug K, Berkoff DJ, Boggess BR, Gavigan M et al (2012) Dermal tissue allograft for the repair of massive irreparable rotator cuff tears. Am J Sports Med 40(1):141–147PubMedGoogle Scholar
  25. 25.
    Gupta AK, Hug K, Boggess B, Gavigan M, Toth AP (2013) Massive or 2-tendon rotator cuff tears in active patients with minimal glenohumeral arthritis: clinical and radiographic outcomes of reconstruction using dermal tissue matrix xenograft. Am J Sports Med 41(4):872–879PubMedGoogle Scholar
  26. 26.
    Galasso O, Riccelli DA, De Gori M et al (2017) Quality of life and functional results of arthroscopic partial repair of irreparable rotator cuff tears. Arthroscopy 33(2):261–268PubMedGoogle Scholar
  27. 27.
    Gerber C, Rahm SA, Catanzaro S, Farshad M, Moor BK (2013) Latissimus dorsi tendon transfer for treatment of irreparable posterosuperior rotator cuff tears: long-term results at a minimum follow-up of 10 years. J Bone Joint Surg Am 95(21):1920–1926PubMedGoogle Scholar
  28. 28.
    Gerber C, Wirth S, Farshad M (2011) Treatment options for massive rotator cuff tears. J Shoulder Elbow Surg 20(2 Suppl):S20–S29PubMedGoogle Scholar
  29. 29.
    Gerhardt C, Lehmann L, Lichtenberg S, Magosch P, Habermeyer P (2010) Modified L’episcopo tendon transfers for irreparable rotator cuff tears: 5-year follow-up. Clin Orthop Relat Res 468(6):1572–1577PubMedGoogle Scholar
  30. 30.
    Gille J, Suehwold J, Schulz AP, Kienast B, Unger A, Jurgens C (2009) Deltoid muscular flap transfer for the treatment of irreparable rotator cuff tears. Orthop Rev (Pavia) 1(2):e15Google Scholar
  31. 31.
    Grimberg J, Kany J, Valenti P, Amaravathi R, Ramalingam AT (2015) Arthroscopic-assisted latissimus dorsi tendon transfer for irreparable posterosuperior cuff tears. Arthroscopy 31(4):599–607PubMedGoogle Scholar
  32. 32.
    Hadjicostas PT, Soucacos PN, Theissen M, Thielemann FW (2008) The use of split deltoid-flap in the treatment of massive rotator cuff defects: a retrospective study of 61 patients. Knee Surg Sports Traumatol Arthrosc 16(9):876–883PubMedGoogle Scholar
  33. 33.
    Hamada K, Fukuda H, Mikasa M, Kobayashi Y (1990) Roentgenographic findings in massive rotator cuff tears. A long-term observation. Clin Orthop Relat Res 254:92–96Google Scholar
  34. 34.
    Hansen ML, Otis JC, Johnson JS, Cordasco FA, Craig EV et al (2008) Biomechanics of massive rotator cuff tears: implications for treatment. J Bone Joint Surg Am 90(2):316–325PubMedGoogle Scholar
  35. 35.
    Hart R, Barta R, Nahlik D (2010) Latissimus dorsi transfer for the treatment of irreparable craniodorsal tears of the rotator cuff. Acta Chir Orthop Traumatol Cech. 77(3):215–221PubMedGoogle Scholar
  36. 36.
    Hartzler RU, Steen BM, Hussey MM, Cusick MC, Cottrell BJ et al (2015) Reverse shoulder arthroplasty for massive rotator cuff tear: risk factors for poor functional improvement. J Shoulder Elbow Surg 24(11):1698–1706PubMedGoogle Scholar
  37. 37.
    Henry P, Wasserstein D, Park S et al (2015) Arthroscopic repair for chronic massive rotator cuff tears: a systematic review. Arthroscopy e1(12):2472–2480Google Scholar
  38. 38.
    Hsu JE, Gorbaty J, Lucas R, Russ SM, Matsen FA (2017) Treatment of irreparable cuff tears with smoothing of the humeroscapular motion interface without acromioplasty. Int Orthop 41(7):1423–1430PubMedGoogle Scholar
  39. 39.
    Irlenbusch U, Bracht M, Gansen HK, Lorenz U, Thiel J (2008) Latissimus dorsi transfer for irreparable rotator cuff tears: a longitudinal study. J Shoulder Elbow Surg 17(4):527–534PubMedGoogle Scholar
  40. 40.
    Kanatli U, Ozer M, Ataoglu MB, Öztürk BY, Gül O et al (2017) Arthroscopic-assisted latissimus dorsi tendon transfer for massive, irreparable rotator cuff tears: technique and short-term follow-up of patients with pseudoparalysis. Arthroscopy 33(5):929–937PubMedGoogle Scholar
  41. 41.
    Kany J, Grimberg J, Amaravathi RS, Sekaran P, Scorpie D et al (2018) Arthroscopically-assisted latissimus dorsi transfer for irreparable rotator cuff insufficiency: modes of failure and clinical correlation. Arthroscopy 34:1139–1150PubMedGoogle Scholar
  42. 42.
    Kim SJ, Kim SH, Lee SK, Seo JW, Chun YM (2013) Arthroscopic repair of massive contracted rotator cuff tears: aggressive release with anterior and posterior interval slides do not improve cuff healing and integrity. J Bone Joint Surg Am 95(16):1482–1488PubMedGoogle Scholar
  43. 43.
    Kim SJ, Lee IS, Kim SH, Lee WY, Chun YM (2012) Arthroscopic partial repair of irreparable large to massive rotator cuff tears. Arthroscopy 28(6):761–768PubMedPubMedCentralGoogle Scholar
  44. 44.
    Kim J, Park J, Rhee Y (2017) Can preoperative magnetic resonance imaging predict the reparability of massive rotator cuff tears? Am J Sports Med 45(7):1654–1663PubMedGoogle Scholar
  45. 45.
    Kolk A, Henseler JF, Overes FJ, Nagels J, Nelissen RGHH. (2018) Teres major tendon transfer in the treatment of irreparable posterosuperior rotator cuff tears. Bone Joint J 100-B(3):309–317Google Scholar
  46. 46.
    Kukkonen J, Kauko T, Vahlberg T, Joukainen A, Aärimaa V (2013) Investigating minimal clinically important difference for constant score in patients undergoing rotator cuff surgery. J Shoulder Elbow Surg 22(12):1650–1655Google Scholar
  47. 47.
    Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP (2012) Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy 28(2):154–159PubMedGoogle Scholar
  48. 48.
    Lee BG, Cho NS, Rhee YG (2011) Results of arthroscopic decompression and tuberoplasty for irreparable massive rotator cuff tears. Arthroscopy 27(10):1341–1350PubMedGoogle Scholar
  49. 49.
    Lewington MR, Ferguson DP, Smith TD, Burks R, Coady C, Wong IH (2017) Graft utilization in the bridging reconstruction of irreparable rotator cuff tears: a systematic review. Am J Sports Med 45(13):3149–3157PubMedGoogle Scholar
  50. 50.
    Lichtenberg S, Magosch P, Habermeyer P (2012) Are there advantages of the combined latissimus-dorsi transfer according to L’episcopo compared to the isolated latissimus-dorsi transfer according to Herzberg after a mean follow-up of 6 years? A matched-pair analysis. J Shoulder Elbow Surg 21(11):1499–1507PubMedGoogle Scholar
  51. 51.
    Liem D, Lengers N, Dedy N, Poetzl W, Steinbeck J et al (2008) Arthroscopic debridement of massive irreparable rotator cuff tears. Arthroscopy 24(7):743–748PubMedGoogle Scholar
  52. 52.
    Lu XW, Verborgt O, Gazielly DF (2008) Long-term outcomes after deltoid muscular flap transfer for irreparable rotator cuff tears. J Shoulder Elbow Surg 17(5):732–737PubMedGoogle Scholar
  53. 53.
    Makhni EC, Steinhaus ME, Morrow ZS, Jobin CM, Verma NN et al (2015) Outcomes assessment in rotator cuff pathology: what are we measuring? J Shoulder Elbow Surg 24(12):2008–2015PubMedGoogle Scholar
  54. 54.
    Matsuhashi T, Suenaga N, Oizumi N, Funakoshi T, Iwasaki N et al (2012) Transfer of teres minor with bone pedicle for irreparable posterior-superior rotator cuff tears. J Orthop Sci 17(5):538–544PubMedGoogle Scholar
  55. 55.
    Mihata T, Lee T, Hasegawa A, Kawakami T, Fukunishi K et al (2018) Arthroscopic superior capsule reconstruction can eliminate pseudoparalysis in patients with irreparable rotator cuff tears. Am J Sports Med 46(11):2707–2716PubMedGoogle Scholar
  56. 56.
    Mihata T, Lee TQ, Watanabe C, Fukunishi K, Ohue M et al (2013) Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy 29(3):459–470PubMedPubMedCentralGoogle Scholar
  57. 57.
    Millett PJ, Warth RJ (2014) Posterosuperior rotator cuff tears: classification, pattern recognition, and treatment. J Am Acad Orthop Surg 22(8):521–534PubMedGoogle Scholar
  58. 58.
    Moher D, Liberati AF, Tetzlaff J FAU-Altman, Douglas G, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 21;6(7):e1000097PubMedPubMedCentralGoogle Scholar
  59. 59.
    Mori D, Funakoshi N, Yamashita F (2013) Arthroscopic surgery of irreparable large or massive rotator cuff tears with low-grade fatty degeneration of the infraspinatus: patch autograft procedure versus partial repair procedure. Arthroscopy 29(12):1911–1921PubMedGoogle Scholar
  60. 60.
    Mori D, Funakoshi N, Yamashita F, Wakabayashi (2015) Effect of fatty degeneration of the infraspinatus on the efficacy of arthroscopic patch autograft procedure for large to massive rotator cuff tears. Am J Sports Med 43(5):1108–1117PubMedGoogle Scholar
  61. 61.
    Morihara T, Kida Y, Furukawa R, Sukenari T, Kabuto Y et al (2018) Therapeutic outcomes of muscular advancement by an arthroscopic-assisted modified Debeyre-Patte procedure for irreparable large and massive rotator cuff tears. J Orthop Sci 23(3):495–503PubMedGoogle Scholar
  62. 62.
    Moursy M, Cafaltzis K, Eisermann S, Lehmann LJ (2012) Latissimus dorsi transfer: l’episcopo versus herzberg technique. Acta Orthop Belg 78(3):296–303PubMedGoogle Scholar
  63. 63.
    Moursy M, Forstner R, Koller H, Resch H, Tauber M (2009) Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a modified technique to improve tendon transfer integrity. J Bone Joint Surg. 91(8):1924–1931PubMedGoogle Scholar
  64. 64.
    Mulieri P, Dunning P, Klein S, Pupello D, Frankle M (2010) Reverse shoulder arthroplasty for the treatment of irreparable rotator cuff tear without glenohumeral arthritis. J Bone Joint Surg Am 92(15):2544–2556PubMedGoogle Scholar
  65. 65.
    Nada AN, Debnath UK, Robinson DA, Jordan C (2010) Treatment of massive rotator-cuff tears with a polyester ligament (dacron) augmentation: clinical outcome. J Bone Joint Surg Br 92(10):1397–1402PubMedGoogle Scholar
  66. 66.
    Namdari S, Voleti P, Baldwin K, Glaser D, Huffman GR (2012) Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a systematic review. J Bone Joint Surg Am 94(10):891–898PubMedGoogle Scholar
  67. 67.
    Nove-Josserand L, Costa P, Liotard JP, Safar JF, Walch G et al (2009) Results of latissimus dorsi tendon transfer for irreparable cuff tears. Orthop Traumatol Surg Res. 95(2):108–113PubMedGoogle Scholar
  68. 68.
    Pandey R, Tafazal S, Shyamsundar S, Modi A, Singh HP (2017) Outcome of partial repair of massive rotator cuff tears with and without human tissue allograft bridging repair. Shoulder Elbow 9(1):23–30PubMedGoogle Scholar
  69. 69.
    Park JG, Cho NS, Song JH, Baek JH, Rhee YG (2016) Long-term outcome of tuberoplasty for irreparable massive rotator cuff tears: is tuberoplasty really applicable? J Shoulder Elbow Surg 25(2):224–231PubMedGoogle Scholar
  70. 70.
    Patte D (1990) Classification of rotator cuff lesions. Clin Orthop Relat Res 254:81–86Google Scholar
  71. 71.
    Petrillo S, Longo UG, Papalia R, Denaro V (2017) Reverse shoulder arthroplasty for massive irreparable rotator cuff tears and cuff tear arthropathy: a systematic review. Musculoskelet Surg. 101(2):105–112PubMedGoogle Scholar
  72. 72.
    Pogorzelski J, Horan MP, Fritz EM, Katthagen JC, Godin JA et al (2017) Arthroscopic superior capsule reconstruction (ASCR) vs Latissimus Dorsi Transfer (LDT): a comparison of early clinical outcomes. Orthop J Sports Med 5(7 suppl6):2325967117S00372Google Scholar
  73. 73.
    Porcellini G, Castagna A, Cesari E, Merolla G, Pellegrini A et al (2011) Partial repair of irreparable supraspinatus tendon tears: clinical and radiographic evaluations at long-term follow-up. J Shoulder Elbow Surg 20(7):1170–1177PubMedGoogle Scholar
  74. 74.
    Rhee YG, Cho NS, Lim CT, Yi JW, Vishvanathan T (2008) Bridging the gap in immobile massive rotator cuff tears: augmentation using the tenotomized biceps. Am J Sports Med 36(8):1511–1518PubMedGoogle Scholar
  75. 75.
    Roukoz S, Nabhane L, Aidibi A, Sebaaly A (2016) Deltoid flap for management of massive irreparable rotator cuff tears: case series. J Med Liban 64(1):8–12PubMedGoogle Scholar
  76. 76.
    Ruiz Ibán MA, Lorente Moreno R, Ruiz Díaz R, Álvarez Sciamanna R, Paniagua Gonzalez A et al (2018) The absorbable subacromial spacer for irreparable posterosuperior cuff tears has inconsistent results. Knee Surg Sports Traumatol Arthrosc 26:3848–3854PubMedGoogle Scholar
  77. 77.
    Senekovic V, Poberaj B, Kovacic L, Mikek M, Adar E et al (2013) Prospective clinical study of a novel biodegradable sub-acromial spacer in treatment of massive irreparable rotator cuff tears. Eur J Orthop Surg Traumatol 23(3):311–316PubMedPubMedCentralGoogle Scholar
  78. 78.
    Senekovic V, Poberaj B, Kovacic L, Mikek M, Adar E et al (2017) The biodegradable spacer as a novel treatment modality for massive rotator cuff tears: a prospective study with 5-year follow-up. Arch Orthop Trauma Surg 137(1):95–103PubMedPubMedCentralGoogle Scholar
  79. 79.
    Shon MS, Koh KH, Lim TK, Kim WJ, Kim KC et al (2015) Arthroscopic partial repair of irreparable rotator cuff tears: preoperative factors associated with outcome deterioration over 2 years. Am J Sports Med 43(8):1965–1975PubMedGoogle Scholar
  80. 80.
    Slabaugh MA, Friel NA, Karas V, Romeo AA, Verma NN, Cole BJ (2012) Interobserver and intraobserver reliability of the Goutallier classification using magnetic resonance imaging: proposal of a simplified classification system to increase reliability. Am J Sports Med 40(8):1728–1734PubMedGoogle Scholar
  81. 81.
    Szabo SJ (2019) Editorial commentary: yet another arrow in the quiver for surgical treatment of the rotator cuff-deficient shoulder: will it fly fast and far or fall short like other options have? Arthroscopy 35(2):615–616PubMedGoogle Scholar
  82. 82.
    Tashjian RZ, Deloach J, Green A, Porucznik CA, Powell AP (2010) Minimal clinically important differences in ASES and simple shoulder test scores after nonoperative treatment of rotator cuff disease. J Bone Joint Surg Am 92(2):296–303PubMedGoogle Scholar
  83. 83.
    Thomazeau H, Rolland Y, Lucas C, Duval JM, Langlais F (1996) Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 67(3):264–268PubMedGoogle Scholar
  84. 84.
    Tokish JM, Alexander TC, Kissenberth MJ, Hawkins RJ (2017) Pseudoparalysis: a systematic review of term definitions, treatment approaches, and outcomes of management techniques. J Shoulder Elbow Surg 26(6):e177–e187PubMedGoogle Scholar
  85. 85.
    Virk MS, Nicholson GP, Romeo AA (2016) Irreparable rotator cuff tears without arthritis treated with reverse total shoulder arthroplasty. Open Orthop J. 10:296–308PubMedPubMedCentralGoogle Scholar
  86. 86.
    Vitali M, Cusumano A, Pedretti A, Naim Rodriguez N, Fraschini G (2015) Employment of synthetic patch with augmentation of the long head of the biceps tendon in irreparable lesions of the rotator cuff: our technique applied to 60 patients. Tech Hand Up Extrem Surg 19(1):32–39PubMedGoogle Scholar
  87. 87.
    Wall B, Nové-Josserand L, O’Connor DP, Edwards TB, Walch G (2007) Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am 89(7):1476–1485PubMedGoogle Scholar
  88. 88.
    Warner JJ (2001) Management of massive irreparable rotator cuff tears: the role of tendon transfer. Instr Course Lect 50:63–71PubMedGoogle Scholar
  89. 89.
    Wong I, Burns J, Snyder S (2010) Arthroscopic GraftJacket repair of rotator cuff tears. J Shoulder Elbow Surg 19(2 Suppl):104–109PubMedGoogle Scholar
  90. 90.
    Yian EH, Sodl JF, Dionysian E, Schneeberger AG (2017) Anterior deltoid reeducation for irreparable rotator cuff tears revisited. J Shoulder Elbow Surg 26(9):1562–1565PubMedGoogle Scholar

Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands

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