Lädermann Alexandre, Collin Philippe, Athwal George S, Scheibel Markus, Zumstein Matthias A, Nourissat Geoffroy
Hopital de la Tour, Switzerland.
Centre Hospitalier Prive Saint-Gregoire, France.
EFORT Open Rev. 2018 May 21;3(5):200-209. doi: 10.1302/2058-5241.3.180002. eCollection 2018 May.
Various procedures exist for patients with irreparable posterosuperior rotator cuff tears (IRCT). At present, no single surgical option has demonstrated clinical superiority.There is no panacea for treatment and patients must be aware, in cases of palliative or non-prosthetic options, of an alarming rate of structural failure (around 50%) in the short term.The current review does not support the initial use of complex and expensive techniques in the management of posterosuperior IRCT.Further prospective and comparative studies with large cohort populations and long-term follow-up are necessary to establish effectiveness of expensive or complicated procedures such as superior capsular reconstruction (SCR), subacromial spacers or biological augmentation as reliable and useful alternative treatments for IRCT. Cite this article: 2018;3 DOI: 10.1302/2058-5241.3.180002.
对于患有不可修复的后上盂唇撕裂（IRCT）的患者，有多种治疗方法。目前，没有单一的手术选择显示出临床优势。治疗没有万灵药，在采用姑息性或非假体治疗方案时，患者必须清楚短期内结构失败的发生率惊人（约50%）。本综述不支持在处理后上IRCT时最初使用复杂且昂贵的技术。需要进一步开展有大量队列人群和长期随访的前瞻性比较研究，以确定诸如上盂唇重建（SCR）、肩峰下间隔器或生物增强等昂贵或复杂的手术作为IRCT可靠且有用的替代治疗方法的有效性。引用本文：2018；3 DOI: 10.1302/2058-5241.3.180002 。
