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Surgical Management of Irreparable Massive Rotator Cuff Tears – Current Concepts

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Journal of Clinical Orthopaedics | Vol 8 | Issue 2 |  Jul-Dec 2023 | page: 62-68 | Gaurav Sharma, Sanjay Garude

DOI: https://doi.org/10.13107/jcorth.2023.v08i02.602

Authors: Gaurav Sharma [1], Sanjay Garude [1, 2]

[1] Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, India.
[2] Department of Orthopaedics, Lilavati Hospital, Mumbai, India.

Address of Correspondence
Dr. Gaurav Sharma,
Consultant, Sir HN Reliance Foundation Hospital, Mumbai, India.
Email: sharmagaurav@live.com

Abstract

The treatment of irreparable massive rotator cuff tear is a challenge for shoulder surgeons due to myriad of options presently available. The conservative methods are usually associated with suboptimal outcomes. The present review aims to discuss the current evidence for treating irreparable massive rotator cuff tears and propose an algorithm for the decision making.
Keywords: Irreparable, massive, rotator cuff tears, tendon transfer, superior capsular reconstruction

References

1. Oliva F, Osti L, Padulo J, Maffulli N. Epidemiology of the rotator cuff tears: A new incidence related to thyroid disease. Muscles Ligaments Tendons J 2014;4:309-14.
2. Rashid MS, Cooper C, Cook J, Cooper D, Dakin SG, Snelling S, et al. Increasing age and tear size reduce rotator cuff repair healing rate at 1 year. Acta Orthop 2017;88:606-11.
3. Bedi A, Dines J, Warren RF, Dines DM. Massive tears of the rotator cuff. J Bone Joint Surg Am 2010;92:1894-908.
4. Mihata T, Lee TQ, Hasegawa A, Fukunishi K, Kawakami T, Fujisawa Y, et al. Five-year follow-up of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. J Bone Joint Surg Am 2019;101:1921-30.
5. Mihata T, Lee TQ, Hasegawa A, Kawakami T, Fukunishi K, Fujisawa Y, et al. Arthroscopic superior capsule reconstruction can eliminate pseudoparalysis in patients with irreparable rotator cuff tears. Am J Sports Med 2018;46:2707-16.
6. Mihata T, Lee TQ, Watanabe C, Fukunishi K, Ohue M, Tsujimura T, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy 2013;29:459-70.
7. Kanatlı U, Özer M, Ataoğlu MB, Öztürk BY, Gül O, Çetinkaya M, et al. Arthroscopic-assisted latissimus dorsi tendon transfer for massive, irreparable rotator cuff tears: Technique and short-term follow-up of patients with pseudoparalysis. Arthroscopy 2017;33:929-37.
8. Kany J, Grimberg J, Amaravathi RS, Sekaran P, Scorpie D, Werthel JD. Arthroscopically-assisted latissimus dorsi transfer for irreparable rotator cuff insufficiency: Modes of failure and clinical correlation. Arthroscopy 2018;34:1139-50.
9. Moursy M, Forstner R, Koller H, Resch H, Tauber M. Latissimus dorsi tendon transfer for irreparable rotator cuff tears: A modified technique to improve tendon transfer integrity. J Bone Joint Surg Am 2009;91:1924-31.
10. Schumaier A, Kovacevic D, Schmidt C, Green A, Rokito A, Jobin C, et al. Defining massive rotator cuff tears: A Delphi consensus study. J Shoulder Elbow Surg 2020;29:674-80.
11. Yian EH, Sodl JF, Dionysian E, Schneeberger AG. Anterior deltoid reeducation for irreparable rotator cuff tears revisited. J Shoulder Elbow Surg 2017;26:1562-5.
12. Zingg PO, Jost B, Sukthankar A, Buhler M, Pfirrmann CW, Gerber C. Clinical and structural outcomes of nonoperative management of massive rotator cuff tears. J Bone Joint Surg Am 2007;89:1928-34.
13. El-Azab HM, Rott O, Irlenbusch U. Long-term follow-up after latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears. J Bone Joint Surg Am 2015;97:462-9.
14. Elhassan BT, Wagner ER, Werthel JD. Outcome of lower trapezius transfer to reconstruct massive irreparable posterior-superior rotator cuff tear. J Shoulder Elbow Surg 2016;25:1346-53.
15. Gerber C, Maquieira G, Espinosa N. Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 2006;88:113-20.
16. Burnier M, Elhassan BT, Sanchez-Sotelo J. Surgical management of irreparable rotator cuff tears: What works, what does not, and what is coming. J Bone Joint Surg Am 2019;101:1603-12.
17. Burkhart SS, Nottage WM, Ogilvie-Harris DJ, Kohn HS, Pachelli A. Partial repair of irreparable rotator cuff tears. Arthrosc J Arthrosc Relat Surg 1994;10:363-70.
18. Malahias MA, Kostretzis L, Chronopoulos E, Brilakis E, Avramidis G, Antonogiannakis E. Arthroscopic partial repair for massive rotator cuff tears: Does it work? A systematic review. Sports Med Open 2019;5:13.
19. Mizuki Y, Tamai M, Senjyu T, Tkagishi K. Arthroscopic extreme medialized repair for massive rotator cuff tear: Resection of cartilage and subchondral bone over the top of the humeral head. Arthrosc Tech 2022;11:e965-70.
20. Ferguson DP, Lewington MR, Smith DT, Wong IH. Graft utilization in the augmentation of large-to-massive rotator cuff repairs. Am J Sports Med 2016;44:2984-92.
21. Lederman ES, Toth AP, Nicholson GP, Nowinski RJ, Bal GK, Williams GR, et al. A prospective, multicenter study to evaluate clinical and radiographic outcomes in primary rotator cuff repair reinforced with a xenograft dermal matrix. J Shoulder Elbow Surg 2016;25:1961-70.
22. Chalmers PN, Tashjian RZ. Patch augmentation in rotator cuff repair. Curr Rev Musculoskelet Med 2020;13:561-71.
23. Castagna A, Cesari E, Di Matteo B, Osimani M, Garofalo R, Kon E, et al. Porcine dermal xenograft as augmentation in the treatment of large rotator cuff tears: Clinical and magnetic resonance results at 2-year follow-up. Joints 2018;6:135-40.
24. Avanzi P, Giudici LD, Capone A, Cardoni G, Lunardi G, Foti G, et al. Prospective randomized controlled trial for patch augmentation in rotator cuff repair: 24-month outcomes. J Shoulder Elbow Surg 2019;28:1918-27.
25. Flury M, Rickenbacher D, Jung C, Schneider MM, Endell D, Audigé L. Porcine dermis patch augmentation of supraspinatus tendon repairs: A pilot study assessing tendon integrity and shoulder function 2 years after arthroscopic repair in patients aged 60 years or older. Arthroscopy 2018;34:24-37.
26. Gupta AK, Hug K, Boggess B, Gavigan M, Toth AP. Massive or 2- tendon rotator cuff tears in active patients with minimal glenohumeral arthritis. Am J Sports Med 2013;41:872-9.
27. Bokor DJ, Sonnabend D, Deady L, Cass B, Young A, Van Kampen C, et al. Preliminary investigation of a biological augmentation of rotator cuff repairs using a collagen implant: A 2-year MRI follow-up. Muscles Ligaments Tendons J 2015;5:144-50.
28. Ranebo MC, Hallgren HC, Norlin R, Adolfsson LE. Long-term clinical and radiographic outcome of rotator cuff repair with a synthetic interposition graft: A consecutive case series with 17 to 20 years of follow-up. J Shoulder Elbow Surg 2018;27:1622-8.
29. Nada AN, Debnath UK, Robinson DA, Jordan C. Treatment of massive rotator-cuff tears with a polyester ligament (Dacron) augmentation: Clinical outcome. J Bone Joint Surg Br 2010;92:1397-402.
30. Cowling P, Hackney R, Dube B, Grainger AJ, Biglands JD, Stanley M, et al. The use of a synthetic shoulder patch for large and massive rotator cuff tears – a feasibility study. BMC Musculoskelet Disord 2020;21:213.
31. Smolen D, Haffner N, Mittermayr R, Hess F, Sternberg C, Leuzinger J. Application of a new polyester patch in arthroscopic massive rotator cuff repair-a prospective cohort study. J Shoulder Elbow Surg 2020;29:e11-21.
32. Ciampi P, Scotti C, Nonis A, Vitali M, Di Serio C, Peretti GM, et al. The benefit of synthetic versus biological patch augmentation in the repair of posterosuperior massive rotator cuff tears: A 3-year follow-up study. Am J Sports Med 2014;42:1169-75.
33. Encalada-Diaz I, Cole BJ, Macgillivray JD, Ruiz-Suarez M, Kercher JS, Friel NA, et al. Rotator cuff repair augmentation using a novel polycarbonate polyurethane patch: Preliminary results at 12 months’ follow-up. J Shoulder Elbow Surg 2011;20:788-94.
34. Burkhard MD, Dietrich M, Andronic O, Nikolic N, Grueninger P. Arthroscopic repair of posterosuperior rotator cuff tears with bioabsorbable patch augmentation: A magnetic resonance-controlled case series with 1-year follow-up. JSES Int 2020;4:860-8.
35. Gilot GJ, Alvarez-Pinzon AM, Barcksdale L, Westerdahl D, Krill M, Peck E. Outcome of large to massive rotator cuff tears repaired with and without extracellular matrix augmentation: A prospective comparative study. Arthroscopy 2015;31:1459-65.
36. Petri M, Warth RJ, Horan MP, Greenspoon JA, Millett PJ. Outcomes after open revision repair of massive rotator cuff tears with biologic patch augmentation. Arthroscopy 2016;32:1752-60.
37. Hall T, Danielson K, Brandenburg S, Matelic T. A case series of recurrent myotendinous rotator cuff tears repaired and augmented with dermal allograft: Clinical outcomes at two years. J Shoulder Elbow Surg 2020;29:2264-71.
38. Hohn EA, Gillette BP, Burns JP. Outcomes of arthroscopic revision rotator cuff repair with acellular human dermal matrix allograft augmentation. J Shoulder Elbow Surg 2018;27:816-23.
39. Muench LN, Kia C, Jerliu A, Williams AA, Berthold DP, Cote MP, et al. Clinical outcomes following biologically enhanced patch augmentation repair as a salvage procedure for revision massive rotator cuff tears. Arthroscopy 2020;36:1542-51.
40. Mori D, Funakoshi N, Yamashita F. 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 2013;29:1911-21.
41. Rosales-Varo AP, García-Espona MA, Roda-Murillo O. Outcomes of rotator cuff augmentation surgery with autologous fascia lata. Rev Esp Cir Ortop Traumatol (Engl Ed) 2018;62:157-67.
42. Mori D, Funakoshi N, Yamashita F, Wakabayashi T. 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 2015;43:1108-17.
43. Tempelaere C, Desmoineaux P, Lespagnol F, Pierrart J, Beaufils P, Pujol N. Surgical repair of massive rotator cuff tendon tears: Autologous quadriceps tendon graft versus arthroscopic repair. Orthop Traumatol Surg Res 2017;103:435-40.
44. Scheibel M, Brown A, Woertler K, Imhoff AB. Preliminary results after rotator cuff reconstruction augmented with an autologous periosteal flap. Knee Surg Sports Traumatol Arthrosc 2007;15:305-14.
45. Cai YZ, Zhang C, Jin RL, Shen T, Gu PC, Lin XJ, Chen JD. Arthroscopic rotator cuff repair with graft augmentation of 3-dimensional biological collagen for moderate to large tears: A randomized controlled study. Am J Sports Med 2018;46:1424-31.
46. Baldwin M, Nagra NS, Greenall G, Carr AJ, Beard D, Rees JL, et al. Use of implantable meshes for augmented rotator cuff repair: A systematic review and meta-analysis. BMJ Open 2020;10:e039552.
47. Haque A, Modi A. Interposition grafting for irreparable rotator cuff tears: Systematic review and specialist practice report. J Clin Orthop Trauma 2021;17:218-22.
48. Makovicka JL, Chung AS, Patel KA, Deckey DG, Hassebrock JD, Tokish JM. Superior capsule reconstruction for irreparable rotator cuff tears: A systematic review of biomechanical and clinical outcomes by graft type. J Shoulder Elbow Surg 2020;29:392-401.
49. de Campos Azevedo CI, Andrade R, Gago Ângelo AC, Espregueira-Mendes J, Ferreira N, Sevivas N. Fascia lata autograft versus human dermal allograft in arthroscopic superior capsular reconstruction for irreparable rotator cuff tears: A systematic review of clinical outcomes. Arthroscopy 2020;36:579-91.e2.
50. Barth J, Olmos MI, Swan J, Barthelemy R, Delsol P, Boutsiadis A. Superior capsular reconstruction with the long head of the biceps autograft prevents infraspinatus retear in massive posterosuperior retracted rotator cuff tears. Am J Sports Med 2020;48:1430-8.
51. Chiang CH, Shaw L, Chih WH, Yeh ML, Su WR. Arthroscopic rotator cuff repair combined with modified superior capsule reconstruction as reinforcement by the long head of the biceps. Arthrosc Tech 2019;8:e1223-31.
52. El-Shaar R, Soin S, Nicandri G, Maloney M, Voloshin I. Superior capsular reconstruction with a long head of the biceps tendon autograft: A cadaveric study. Orthop J Sports Med 2018;6:2325967118785365.
53. Krishnan P, Maassen N, Lee C, Baker H, Koh J, Amirouche F, et al. Long head of the biceps autograft performs biomechanically similar to human dermal allograft for superior capsule reconstruction after rotator cuff tear. Arthroscopy 2023;39:706-15.
54. Rosales-Varo AP, Zafra M, García-Espona MA, Flores-Ruiz MA, Roda O. Superior capsular reconstruction of irreparable rotator cuff tear using autologous hamstring graft. Rev Esp Cir Ortop Traumatol (Engl Ed) 2019;63:1-6.
55. Milano G, Saccomanno MF, Colosio A, Adriani M, Galli S, Scaini A, et al. Arthroscopic superior capsule reconstruction with doubled autologous semitendinosus tendon graft. Arthrosc Tech 2020;9:e1665-72.
56. Croom WP, Adamson GJ, Lin CC, Patel NA, Kantor A, McGarry MH, et al. A biomechanical cadaveric study of patellar tendon allograft as an alternative graft material for superior capsule reconstruction. J Shoulder Elbow Surg 2019;28:1241-8.
57. Kim JW, Nam DJ. Arthroscopic superior capsular reconstruction by the mini-open modified keyhole technique using an achilles tendon-bone allograft. Arthrosc Tech 2020;9:e275-81.
58. Gerber C, Vinh TS, Hertel R, Hess CW. Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. A preliminary report. Clin Orthop Relat Res 1988;232:51-61.
59. Omid R, Lee B. Tendon transfers for irreparable rotator cuff tears. J Am Acad Orthop Surg 2013;21:492-501.
60. Gerber C, Rahm SA, Catanzaro S, Farshad M, Moor BK. Latissimus dorsi tendon transfer for treatment of irreparable posterosuperior rotator cuff tears: long-term results at a minimum follow-up of ten years. J Bone Joint Surg Am 2013;95:1920-6.
61. Gerber C. Latissimus dorsi transfer for the treatment of irreparable tears of the rotator cuff. Clin Orthop Relat Res 1992;275:152-60.
62. Kucirek NK, Hung NJ, Wong SE. Treatment options for massive irreparable rotator cuff tears. Curr Rev Musculoskelet Med 2021;14:304-15.
63. Muench LN, Kia C, Williams AA, Avery DM 3rd, Cote MP, Reed N, et al. High clinical failure rate after latissimus dorsi transfer for revision massive rotator cuff tears. Arthroscopy 2020;36:88-94.
64. Elhassan BT, Wagner ER, Kany J. Latissimus dorsi transfer for irreparable subscapularis tear. J Shoulder Elbow Surg 2020;29:2128-34.
65. Mun SW, Kim JY, Yi SH, Baek CH. Latissimus dorsi transfer for irreparable subscapularis tendon tears. J Shoulder Elbow Surg 2018;27:1057-64.
66. Herzberg G, Urien JP, Dimnet J. Potential excursion and relative tension of muscles in the shoulder girdle: Relevance to tendon transfers. J Shoulder Elbow Surg 1999;8:430-7.
67. Hartzler RU, Barlow JD, An KN, Elhassan BT. Biomechanical effectiveness of different types of tendon transfers to the shoulder for external rotation. J Shoulder Elbow Surg 2012;21:1370-6.
68. Elhassan BT, Alentorn-Geli E, Assenmacher AT, Wagner ER. Arthroscopic-assisted lower trapezius tendon transfer for massive irreparable posterior-superior rotator cuff tears: Surgical technique. Arthrosc Tech 2016;5:e981-8.
69. Ghoraishian M, Stone MA, Elhassan B, Abboud J, Namdari S. Techniques for lower trapezius tendon transfer for the management of irreparable posterosuperior rotator cuff tears. J Orthop 2020;22:331-5.
70. Desai V, Stambulic T, Daneshvar P, Bicknell RT. Lower trapezius tendon transfer for irreparable rotator cuff injuries: A scoping review. JSES Rev Rep Tech 2022;3:1-9.
71. Wirth MA, Rockwood CA Jr. Operative treatment of irreparable rupture of the subscapularis. J Bone Joint Surg Am 1997;79:722-31.
72. Elhassan B, Ozbaydar M, Massimini D, Diller D, Higgins L, Warner JJ. Transfer of pectoralis major for the treatment of irreparable tears of subscapularis: Does it work? J Bone Joint Surg Br 2008;90:1059-65.
73. Galatz LM, Connor PM, Calfee RP, Hsu JC, Yamaguchi K. Pectoralis major transfer for anterior-superior subluxation in massive rotator cuff insufficiency. J Shoulder Elbow Surg 2003;12:1-5.
74. Jost B, Puskas GJ, Lustenberger A, Gerber C. Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. J Bone Joint Surg Am 2003;85:1944-51.
75. Jennings GJ, Keereweer S, Buijze GA, De Beer J, DuToit D. Transfer of segmentally split pectoralis major for the treatment of irreparable rupture of the subscapularis tendon. J Shoulder Elbow Surg 2007;16:837-42.
76. Konrad GG, Sudkamp NP, Kreuz PC, Jolly JT, McMahon PJ, Debski RE. Pectoralis major tendon transfers above or underneath the conjoint tendon in subscapularis-deficient shoulders. An in vitro biomechanical analysis. J Bone Joint Surg Am 2007;89:2477-84.
77. Boileau P, Baba M, McClelland WB Jr., Thélu CÉ, Trojani C, Bronsard N. Isolated loss of active external rotation: A distinct entity and results of L’Episcopo tendon transfer. J Shoulder Elbow Surg 2018;27:499-509.
78. Neyton L, Gossing L, Gasbarro G, Kirsch JM. Modified L’Episcopo tendon transfer for isolated loss of active external rotation. J Shoulder Elbow Surg 2020;29:2587-94.
79. Verhelst L, Vandekerckhove PJ, Sergeant G, Liekens K, Van Hoonacker P, Berghs B. Reversed arthroscopic subacromial decompression for symptomatic irreparable rotator cuff tears: Mid-term follow-up results in 34 shoulders. J Shoulder Elbow Surg 2010;19:601-8.
80. Pander P, Sierevelt IN, Pecasse GA, van Noort A. Irreparable rotator cuff tears: Long-term follow-up, five to ten years, of arthroscopic debridement and tenotomy of the long head of the biceps. Int Orthop 2018;42:2633-8.
81. Walch G, Edwards TB, Boulahia A, Nové-Josserand L, Neyton L, Szabo I. Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: Clinical and radiographic results of 307 cases. J Shoulder Elbow Surg 2005;14:238-46.
82. Soderlund M, Boren M, O’Reilly A, San Juan A, Mahylis JM. Arthroscopic debridement for management of massive, irreparable rotator cuff tears: A systematic review of outcomes. JSES Rev Rep Tech 2021;2:1-7.
83. Digge VK, Sai Krishna ML, Santanu SB, Kumar V, Nag H. The outcome of debridement in massive irreparable rotator cuff tear-a systematic review. J Arthos Joint Surg 2022;9:144.
84. Descamps J, Kierszbaum E, Protais M, Marion B, Bouché PA, Aïm F. Outcomes of isolated biceps tenodesis/tenotomy or partial rotator cuff repair associated with biceps tenodesis/tenotomy for massive irreparable tears: A systematic review. J Clin Med 2023;12:2565.
85. Burkhart SS. Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop Relat Res 1991;267:45-56.
86. Park JG, Cho NS, Song JH, Baek JH, Rhee YG. Long-term outcome of tuberoplasty for irreparable massive rotator cuff tears: Is tuberoplasty really applicable? J Shoulder Elbow Surg 2016;25:224-31.
87. Savarese E, Romeo R. New solution for massive, irreparable rotator cuff tears: The subacromial “biodegradable spacer”. Arthrosc Tech 2012;1:e69-74.
88. Yallapragada RK, Apostolopoulos A, Katsougrakis I, Selvan TP. The use of a subacromial spacer-inspace balloon in managing patients with irreparable rotator cuff tears. J Orthop 2018;15:862-8.
89. Deranlot J, Herisson O, Nourissat G, Zbili D, Werthel JD, Vigan M, et al. Arthroscopic subacromial spacer implantation in patients with massive irreparable rotator cuff tears: Clinical and radiographic results of 39 retrospectives cases. Arthroscopy 2017;33:1639-44. Erratum in: Arthroscopy 2018;34:647.
90. Maman E, Safran O, Beyth S, Mozes G, Dekel A, Michael B, et al. Biceps tenotomy does not affect the functional outcomes of patients treated with spacer implantation due to massive irreparable rotator cuff tears. Open Orthop J 2017;11:1577-84.
91. Malahias MA, Brilakis E, Avramidis G, Antonogiannakis E. Satisfactory mid-term outcome of subacromial balloon spacer for the treatment of irreparable rotator cuff tears. Knee Surg Sports Traumatol Arthrosc 2019;27:3890-6.
92. Kunze KN, Moran J, Taylor SA, Fu MC, Rodeo SA, Warren RF, et al. Subacromial balloon spacer implantation for massive irreparable rotator cuff tears is associated with restoration of the acromiohumeral interval and glenohumeral center of pressure: A systematic review and meta-analysis of controlled laboratory studies. Am J Sports Med 2023;51:3870-9.
93. Sandler AB, Gil LG, Scanaliato JP, Green CK, Dunn JC, Parnes N. Subacromial balloon placement demonstrates no advantage over debridement in the treatment of massive irreparable rotator cuff tears: A dual-armed systematic review and meta-analysis of over 1000 patients. Am J Sports Med. 2023 Jun 27:3635465231168127.
94. Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics 1993;16:65-8.
95. Denard PJ. An algorithmic approach to the surgical management of massive rotator cuff tears based on imaging, function, and repairability. Arthroscopy 2023;39:2392-7.
96. Viswanath A, Bale S, Trail I. Reverse total shoulder arthroplasty for irreparable rotator cuff tears without arthritis: A systematic review. J Clin Orthop Trauma 2021;17:267-72.
97. Muh SJ, Streit JJ, Wanner JP, Lenarz CJ, Shishani Y, Rowland DY, et al. Early follow-up of reverse total shoulder arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am 2013;95:1877-83.
98. Samuelsen BT, Wagner ER, Houdek MT, Elhassan BT, Sánchez-Sotelo J, Cofield R, et al. Primary reverse shoulder arthroplasty in patients aged 65 years or younger. J Shoulder Elbow Surg 2017;26:e13-7.
99. Ernstbrunner L, Suter A, Catanzaro S, Rahm S, Gerber C. Reverse total shoulder arthroplasty for massive, irreparable rotator cuff tears before the age of 60 years: Long-term results. J Bone Joint Surg Am 2017;99:1721-9.
100. Sevivas N, Ferreira N, Andrade R, Moreira P, Portugal R, Alves D, et al. Reverse shoulder arthroplasty for irreparable massive rotator cuff tears: A systematic review with meta-analysis and meta-regression. J Shoulder Elbow Surg 2017;26:e265-77.
101. Werner CM, Steinmann PA, Gilbart M, Gerber C. Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am 2005;87:1476-86.
102. Chelli M, Lo Cunsolo L, Gauci MO, Gonzalez JF, Domos P, Bronsard N, et al. Reverse shoulder arthroplasty in patients aged 65 years or younger: A systematic review of the literature. JSES Open Access 2019;3:162-7.
103. Boileau P, Rumian AP, Zumstein MA. Revesed shoulder arthroplasty with modified L’Episcopo for combined loss of active elevation and external rotation. J Shoulder Elbow Surg 2010;19:20-30.

How to Cite this article: Sharma G, Garude S. Surgical Management of Irreparable Massive Rotator Cuff Tears – Current Concepts. Journal of Clinical Orthopaedics 2023;8(2):62-68.

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History and Future Direction of Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears

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Vol 3 | Issue 2 |  July-Dec 2018 | Page 12-15 | Teruhisa Mihata.

Authors: Teruhisa Mihata [1,2,3].

[1] Department of Orthopedic Surgery, Osaka Medical College, Takatsuki, Osaka, Japan
[2] Orthopaedic Biomechanics Laboratory, Congress Medical Foundation, Pasadena, California, USA
[3] Katsuragi Hospital, Kishiwada, Osaka, Japan

Address of Correspondence
Dr. TeruhisaMihata,
Department of Orthopedic Surgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
Email: tmihata@yahoo.co.jp, tmihata@osaka-med.ac.jp

Abstract

Lesions of the superior shoulder capsule had been a neglected entity before I reported my technique for superior capsule reconstruction (SCR).I had noticed that patients with irreparable rotator cuff tears always had irreparable defects of the superior shoulder capsule as well as the rotator cuff tendons, because the superior shoulder capsule is attached to the undersurface of these tendons. Therefore, I hypothesized that reconstruction of the superior shoulder capsule might be useful to prevent superior migration of the humeral head and subacromial impingement in irreparable rotator cuff tears. To prove my hypothesis, our group performed a cadaveric biomechanical study in 2005. This biomechanical study showed that SCR completely restored superior stability of the glenohumeral joint, whereas patch grafting to the supraspinatus tendon (conventional patch graft surgery) only partially restored superior translation to the intact level. Consequently, in 2007,we started arthroscopic SCR for patients with irreparable rotator cuff tears. From our 10 years of experience with SCR, we conclude that arthroscopic SCR restores superior glenohumeral stability and improves shoulder function in irreparable rotator cuff tears.
Keywords: Irreparable, Reconstruction, Rotator Cuff, Shoulder, Superior capsule

References

1. Bedi A, Dines J, Warren RF, Dines DM. Massive tears of the rotator cuff. J Bone Joint Surg Am 2010;92:1894-1908.
2. Oh JH, Kim SH, Kang JY, Oh CH, Gong HS. Effect of age on functional and structural outcome after rotator cuff repair. Am J Sports Med 2010;38:672-678.
3. Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994;78-83.
4. Melis B, Wall B, Walch G. Natural history of infraspinatus fatty infiltration in rotator cuff tears. J Shoulder Elbow Surg 2010;19:757-763.
5. Melis B, Nemoz C, Walch G. Muscle fatty infiltration in rotator cuff tears: descriptive analysis of 1688 cases. Orthop Traumatol Surg Res 2009;95:319-324.
6. Oh JH, Kim SH, Choi JA, Kim Y, Oh CH. Reliability of the grading system for fatty degeneration of rotator cuff muscles. Clin Orthop Relat Res 2010;468:1558-1564.
7. Burkhart SS. Arthroscopic debridement and decompression for selected rotator cuff tears. Clinical results, pathomechanics, and patient selection based on biomechanical parameters. Orthop Clin North Am 1993;24:111-123.
8. Rockwood CA, Jr., Williams GR, Jr., Burkhead WZ, Jr. Debridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am 1995;77:857-866.
9. Burkhart SS. Fluoroscopic comparison of kinematic patterns in massive rotator cuff tears. A suspension bridge model. Clin Orthop Relat Res 1992;144-152.
10. Burkhart SS, Nottage WM, Ogilvie-Harris DJ, Kohn HS, Pachelli A. Partial repair of irreparable rotator cuff tears. Arthroscopy 1994;10:363-370.
11. Duralde XA, Bair B. Massive rotator cuff tears: the result of partial rotator cuff repair. J Shoulder Elbow Surg 2005;14:121-127.
12. Cofield RH. Subscapular muscle transposition for repair of chronic rotator cuff tears. Surg Gynecol Obstet 1982;154:667-672.
13. Karas SE, Giachello TL. Subscapularis transfer for reconstruction of massive tears of the rotator cuff. J Bone Joint Surg Am 1996;78:239-245.
14. Celli L, Rovesta C, Marongiu MC, Manzieri S. Transplantation of teres major muscle for infraspinatus muscle in irreparable rotator cuff tears. J Shoulder Elbow Surg 1998;7:485-490.
15. Debeyre J, Patie D, Elmelik E. Repair of Ruptures of the Rotator Cuff of the Shoulder. J Bone Joint Surg Br 1965;47:36-42.
16. Dierickx C, Vanhoof H. Massive rotator cuff tears treated by a deltoid muscular inlay flap. Acta Orthop Belg 1994;60:94-100.
17. Gerber C. Latissimus dorsi transfer for the treatment of irreparable tears of the rotator cuff. Clin Orthop Relat Res 1992;152-160.
18. Warner JJ, Parsons IMt. Latissimus dorsi tendon transfer: a comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears. J Shoulder Elbow Surg 2001;10:514-521.
19. Gerber C, Maquieira G, Espinosa N. Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 2006;88:113-120.
20. Jost B, Puskas GJ, Lustenberger A, Gerber C. Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. J Bone Joint Surg Am 2003;85-A:1944-1951.
21. Nasca RJ. The use of freeze-dried allografts in the management of global rotator cuff tears. Clin Orthop Relat Res 1988;218-226.
22. Neviaser JS, Neviaser RJ, Neviaser TJ. The repair of chronic massive ruptures of the rotator cuff of the shoulder by use of a freeze-dried rotator cuff. J Bone Joint Surg Am 1978;60:681-684.
23. Heikel HV. Rupture of the rotator cuff of the shoulder. Experiences of surgical treatment. Acta Orthop Scand 1968;39:477-492.
24. Ozaki J, Fujimoto S, Masuhara K, Tamai S, Yoshimoto S. Reconstruction of chronic massive rotator cuff tears with synthetic materials. Clin Orthop Relat Res 1986;173-183.
25. Post M. Rotator cuff repair with carbon filament. A preliminary report of five cases. Clin Orthop Relat Res 1985;154-158.
26. Klein SM, Dunning P, Mulieri P, Pupello D, Downes K, Frankle MA. Effects of acquired glenoid bone defects on surgical technique and clinical outcomes in reverse shoulder arthroplasty. J Bone Joint Surg Am 2010;92:1144-1154.
27. Farshad M, Gerber C. Reverse total shoulder arthroplasty-from the most to the least common complication. Int Orthop 2010;34:1075-1082.
28. Simovitch RW, Zumstein MA, Lohri E, Helmy N, Gerber C. Predictors of scapular notching in patients managed with the Delta III reverse total shoulder replacement. J Bone Joint Surg Am 2007;89:588-600.
29. Tan SHS, Huh LBP, Krishna L. Outcomes of Anterior Cruciate Ligament Reconstruction in Females Using Patellar-Tendon-Bone versus Hamstring Autografts: A Systematic Review and Meta-Analysis. J Knee Surg 2018.
30. Chin BZ, Wee IJY, Syn NL, Krishna L. Arthroscopic Anterior Cruciate Ligament Reconstruction: A Meta-Analysis Comparing Semitendinosus Alone and Semitendinosus with Gracilis Tendon Autografts. J Knee Surg 2018.
31. Osti M, El Attal R, Doskar W, Hock P, Smekal V. High complication rate following dynamic intraligamentary stabilization for primary repair of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 2018.
32. Neviaser RJ. Tears of the rotator cuff. Orthop Clin North Am 1980;11:295-306.
33. Moore DR, Cain EL, Schwartz ML, Clancy WG, Jr. Allograft reconstruction for massive, irreparable rotator cuff tears. Am J Sports Med 2006;34:392-396.
34. Sclamberg SG, Tibone JE, Itamura JM, Kasraeian S. Six-month magnetic resonance imaging follow-up of large and massive rotator cuff repairs reinforced with porcine small intestinal submucosa. J Shoulder Elbow Surg 2004;13:538-541.
35. Soler JA, Gidwani S, Curtis MJ. Early complications from the use of porcine dermal collagen implants (Permacol) as bridging constructs in the repair of massive rotator cuff tears. A report of 4 cases. Acta Orthop Belg 2007;73:432-436.
36. Nimura A, Kato A, Yamaguchi K, et al. The superior capsule of the shoulder joint complements the insertion of the rotator cuff. J Shoulder Elbow Surg 2012;21:867-872.
37. Ishihara Y, Mihata T, Tamboli M, et al. Role of the superior shoulder capsule in passive stability of the glenohumeral joint. J Shoulder Elbow Surg 2014;23:642-648.
38. Mihata T, McGarry MH, Pirolo JM, Kinoshita M, Lee TQ. Superior capsule reconstruction to restore superior stability in irreparable rotator cuff tears: a biomechanical cadaveric study. Am J Sports Med 2012;40:2248-2255.

How to Cite this article: Mihata T. History and Future Direction of Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears. Journal of Clinical Orthopaedics July-Dec 2018; 3(2):12-15.

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