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Clin Shoulder Elbow > Volume 13(1); 2010 > Article
Journal of the Korean Shoulder and Elbow Society 2010;13(1):161-166.
DOI: https://doi.org/10.5397/CiSE.2010.13.1.161    Published online June 30, 2010.
Tendon Transfer for Irreparable Massive Rotator Cuff Tear
Jae K Yum, Hee Sung Lee, Sung Bum Park
Department of Orthopaedic Surgery, Sang-gye Paik Hospital, Inje university, Seoul, South Korea. npy71@hanmail.net
봉합이 불가능한 회전근 개 광범위 파열에 대한 건 이전 수술
염재광·이희성·박성범
인제대학교 상계백병원 정형외과학교실
Abstract
PURPOSE
Irreparable massive rotator cuff tears pose a distinct clinical challenge for the orthopaedist and non-surgical treatment has had inconsistent results and proven unsuccessful for chronic symptoms, while surgery, including debridement and partial and complete repairs have had varying degrees of success. MATERIALS AND METHODS: For rotator cuff tears that are deemed irreparable, treatment options are limited.
RESULTS
AND CONCLUSION: The use of tendon transfers (latissimus dorsi for posterosuperior type cuff defects and pectoralis major for subscapularis defects) in younger patients to reconstruct rotator cuffs and re-establish function and restore shoulder kinematics can be useful in solving this difficult problem.
Key Words: Shoulder; Irreparable rotator cuff tear; Tendon transfer; Latissimus dorsi; Pectoralis major


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