Rho Joseph Y, Kwon Yong Suk, Choi Sungwook
Department of Orthopedic Surgery, Jeju National University School of Medicine, Jeju, Korea.
Clin Shoulder Elb. 2019 Mar 1;22(1):50-57. doi: 10.5397/cise.2019.22.1.50. eCollection 2019 Mar.
Rotator cuff tear is a common cause of shoulder pain and disability in adults. Due to the various nature of progression of rotator cuff tears and the complex biomechanics of the shoulder joint, repair and treatment of large-to-massive tears are challenging for many surgeons. Despite the recent popularity of reverse total shoulder arthroplasty as a treatment option for large-to-massive irreparable rotator cuff tears, biological and mechanical repair augmentation has also shown promise as a viable treatment option. The purpose of this study was to briefly summarize and review current studies on the assessment and arthroscopic treatment of large-to-massive rotator cuff tears, whether repairable or irreparable, to aid in developing a consensus on future treatment directions.
肩袖撕裂是成人肩部疼痛和功能障碍的常见原因。由于肩袖撕裂进展的多样性以及肩关节复杂的生物力学特性，对于许多外科医生来说，修复和治疗大面积至巨大肩袖撕裂具有挑战性。尽管近年来反式全肩关节置换术作为治疗大面积至巨大不可修复肩袖撕裂的一种选择很受欢迎，但生物和机械修复增强术也已显示出作为一种可行治疗选择的前景。本研究的目的是简要总结和回顾目前关于大面积至巨大肩袖撕裂评估和关节镜治疗的研究，无论其是否可修复，以帮助就未来治疗方向达成共识。
