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Graft use in the treatment of large and massive rotator cuff tears: an overview of techniques and modes of failure with MRI correlation

Abstract

Despite technical advances, repair of large or massive rotator cuff tears continues to demonstrate a relatively high rate of failure. Rotator cuff repair or superior capsular reconstruction (SCR) using a variety of commercially available grafts provides a promising option in patients with tears that may be at high risk for failure or otherwise considered irreparable. There are three major graft constructs that exist when utilizing graft in rotator cuff repair or reconstruction: augmentation at the rotator cuff footprint, bridging, and SCR. Each construct has a unique appearance when evaluated using postoperative magnetic resonance imaging (MRI), and each construct has unique sites that are predisposed to failure. Understanding the basic principles of these constructs can help the radiologist better evaluate the postoperative MRI appearance of these increasingly utilized procedures.

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Correspondence to Kyle R. Duchman.

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Informed consent was obtained from all individual participants included in the study.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Duchman, K.R., Mickelson, D.T., Little, B.A. et al. Graft use in the treatment of large and massive rotator cuff tears: an overview of techniques and modes of failure with MRI correlation. Skeletal Radiol 48, 47–55 (2019). https://doi.org/10.1007/s00256-018-3015-4

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  • DOI: https://doi.org/10.1007/s00256-018-3015-4

Keywords

  • Rotator cuff repair
  • Superior capsular reconstruction
  • Rotator cuff graft
  • Rotator cuff augmentation
  • Rotator cuff interposition