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Rotator Cuff Tear Arthropathy: Evaluation, Diagnosis, and Treatment

Rotator Cuff Tear Arthropathy: Evaluation, Diagnosis, and Treatment Abstract: Rotator cuff tear arthropathy encompasses a broad spectrum of pathology, but it involves at least three critical features: rotator cuff insufficiency, degenerative changes of the glenohumeral joint, and superior migration of the humeral head. Although many patients possess altered biomechanics of the glenohumeral joint secondary to rotator cuff pathology, not all patients develop rotator cuff tear arthropathy, and thus the exact etiology of rotator cuff tear arthropathy remains unclear. The objectives of this manuscript are to (1) review the biomechanical properties of the rotator cuff and the glenohumeral joint, (2) discuss the proposed causes of rotator cuff tear arthropathy, (3) provide a brief review of the historically used surgical options to treat rotator cuff tear arthropathy, and (4) present a treatment algorithm for rotator cuff tear arthropathy based on a patient’s clinical presentation, functional goals, and anatomic integrity. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Bone and Joint Surgery Wolters Kluwer Health

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
Subject
Scientific Articles
ISSN
0021-9355
eISSN
1535-1386
DOI
jbjs/94/6/e34/K00746
Publisher site
See Article on Publisher Site

Abstract

Abstract: Rotator cuff tear arthropathy encompasses a broad spectrum of pathology, but it involves at least three critical features: rotator cuff insufficiency, degenerative changes of the glenohumeral joint, and superior migration of the humeral head. Although many patients possess altered biomechanics of the glenohumeral joint secondary to rotator cuff pathology, not all patients develop rotator cuff tear arthropathy, and thus the exact etiology of rotator cuff tear arthropathy remains unclear. The objectives of this manuscript are to (1) review the biomechanical properties of the rotator cuff and the glenohumeral joint, (2) discuss the proposed causes of rotator cuff tear arthropathy, (3) provide a brief review of the historically used surgical options to treat rotator cuff tear arthropathy, and (4) present a treatment algorithm for rotator cuff tear arthropathy based on a patient’s clinical presentation, functional goals, and anatomic integrity.

Journal

Journal of Bone and Joint SurgeryWolters Kluwer Health

Published: Mar 21, 2012

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