Oregon Shoulder Institute, Medford, Oregon.
Izmir Bakircay University, Izmir, Turkey.
JBJS Rev. 2023 Sep 20;11(9). doi: e23.00099. eCollection 2023 Sep 1.
» Secondary rotator cuff insufficiency is a challenging complication after anatomic total shoulder arthroplasty.» Acute tears may be amenable to open or arthroscopic repair in some instances.» Chronic attritional tears are best managed with revision to reverse shoulder arthroplasty, especially in the elderly.» Increased glenoid inclination, larger critical shoulder angle, oversized humeral components, thicker glenoid components, and rotator cuff muscle fatty infiltration have all shown to contribute to tear risk.
» 解剖型全肩关节置换术后发生继发性肩袖不全是一种具有挑战性的并发症。» 在某些情况下，急性撕裂可能适合行开放或关节镜修复。» 慢性磨损性撕裂最好通过翻修行反式肩关节置换术来治疗，尤其是在老年人中。» 肩盂倾斜增加、较大的临界肩角、较大的肱骨头组件、较厚的肩盂组件和肩袖肌肉脂肪浸润均显示与撕裂风险相关。
