巨大肩袖损伤的临床治疗新进展

doi:10.3969/j.issn.2095-378X.2024.01.001

Abstract

Abstract: Rotator cuff tear is a common shoulder disease, especially among athletes and middle-aged and elderly individuals. With the accelerating trend of aging population, the number of patients with rotator cuff tears is increasing. For massive rotator cuff tears, there is a high risk of re-tear after surgery and poor prognosis, which poses a significant clinical challenge. In recent years, surgical techniques for massive rotator cuff tears have continued to innovate, including superior capsule reconstruction, subacromial balloon spacer implantation, tendon transfer, and reverse shoulder arthroplasty. This article summarized the biomechanical effects of massive rotator cuff tears on the shoulder joint and focused on the latest treatment advancements, aiming to provide new reference for clinical treatment.

Key words: Massive rotator cuff tears, Superior capsule reconstruction, Subacromial balloon spacer implantation, Tendon transfer, Reverse shoulder arthroplasty

CLC Number:

R-522

XU Hui, JIANG Xiping, HU Qingxiang, HE Yaohua. Recent advances on diagnosis and treatment of massive rotator cuff tears[J]. Surgical Research and New Technique, 2024, 13(1): 1-6.

References

[1] Dey HM, Dey HR, Hanson JA, et al.Treatment options for massive irreparable rotator cuff tears: a review of arthroscopic surgical options[J]. EFORT Open Rev, 2023, 8(1): 35-44.
[2] Yamamoto A, Takagishi K, Osawa T, et al.Prevalence and risk factors of a rotator cuff tear in the general population[J]. J Shoulder Elbow Surg, 2010, 19(1): 116-120.
[3] Goodman RS.Abnormal findings on magnetic resonance images of asymptomatic shoulders[J]. J Bone Joint Surg Am,1996, 78(4): 633.
[4] Tashjian RZ.Epidemiology, natural history, and indications for treatment of rotator cuff tears[J]. Clin Sports Med, 2012, 31(4): 589-604.
[5] Minagawa H, Yamamoto M, Abe H, et al.Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: from mass-screening in one village[J]. J Orthop,2013, 10(1): 8-12.
[6] Hodgson S.Proximal humerus fracture rehabilitation[J]. Clin Orthop Relat Res, 2006, 442: 131-138.
[7] Mease SJ, Wang KC, Cautela FS, et al.Tendon transfers, balloon spacers, and bursal acromial reconstruction for massive rotator cuff tears[J]. Clin Sports Med, 2023, 42(1): 125-140.
[8] Schumaier A, Kovacevic D, Schmidt C, et al.Defining massive rotator cuff tears: a Delphi consensus study[J]. J Shoulder Elbow Surg, 2020, 29(4): 674-680.
[9] Parsons IM, Apreleva M, Fu FH, et al.The effect of rotator cuff tears on reaction forces at the glenohumeral joint[J]. J Orthop Res, 2002, 20(3): 439-446.
[10] Oh JH, McGarry MH, Jun BJ, et al. Restoration of shoulder biomechanics according to degree of repair completion in a cadaveric model of massive rotator cuff tear: importance of margin convergence and posterior cuff fixation[J]. Am J Sports Med, 2012, 40(11): 2448-2453.
[11] Giphart JE, Brunkhorst JP, Horn NH, et al.Effect of plane of arm elevation on glenohumeral kinematics: a normative biplane fluoroscopy study[J]. J Bone Joint Surg Am, 2013, 95(3): 238-245.
[12] Nam D, Maak TG, Raphael BS, et al.Rotator cuff tear arthropathy: evaluation, diagnosis, and treatment: AAOS exhibit selection[J]. J Bone Joint Surg Am, 2012, 94(6): 34.
[13] Collin P, Matsumura N, Lädermann A, et al.Relationship between massive chronic rotator cuff tear pattern and loss of active shoulder range of motion[J]. J Shoulder Elbow Surg, 2014, 23(8): 1195-1202.
[14] Greenspoon JA, Petri M, Warth RJ, et al.Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes[J]. J Shoulder Elbow Surg, 2015, 24(9): p. 1493-1505.
[15] Yian EH, Sodl JF, Dionysian E, et al.Anterior deltoid reeducation for irreparable rotator cuff tears revisited[J]. J Shoulder Elbow Surg, 2017, 26(9): 1562-1565.
[16] Vad VB, Warren RF, Altchek DW, et al.Negative prognostic factors in managing massive rotator cuff tears[J]. Clin J Sport Med, 2002, 12(3): 151-157.
[17] Oh JH, Park MS, Rhee SM.Treatment strategy for irreparable rotator cuff tears[J]. Clin Orthop Surg, 2018, 10(2): 119-134.
[18] Shepet KH, Liechti DJ, Kuhn JE.Nonoperative treatment of chronic, massive irreparable rotator cuff tears: a systematic review with synthesis of a standardized rehabilitation protocol[J]. J Shoulder Elbow Surg, 2021, 30(6): 1431-1444.
[19] Mihata T, Lee TQ, Hasegawa A, et al.Five-year follow-up of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears[J]. J Bone Joint Surg Am, 2019, 101(21): 1921-1930.
[20] Mihata T, McGarry MH, Kahn T, et al. Biomechanical effect of thickness and tension of fascia lata graft on glenohumeral stability for superior capsule reconstruction in irreparable supraspinatus tears[J]. Arthroscopy, 2016, 32(3): 418-426.
[21] Ma L, Liao YT, Wang ZY, et al.Supraspinatus tendon reconstruction using fascia lata autograft for irreparable posterosuperior massive rotator cuff tears[J]. Arthrosc Tech, 2023, 12(5): 629-634.
[22] Lee JB, Kholinne E, Ben H, et al.Clinical and radiological outcomes of arthroscopic superior capsular reconstruction versus primary rotator cuff repair in massive rotator cuff tears: apropensity score-matched study[J]. Am J Sports Med, 2023,51(8): 1971-1978.
[23] Boutsiadis A, Chen S, Jiang C, et al.Long head of the biceps as a suitable available local tissue autograft for superior capsular reconstruction: "The Chinese Way"[J]. Arthrosc Tech, 2017, 6(5): 1559-1566.
[24] Wan RW, Luo ZW, Yang YM, et al.Long head of biceps tendon transposition for massive and irreparable rotator cuff tears: a systematic review and meta-analysis[J]. World J Orthop, 2023, 14(11): 813-826.
[25] Zhao J, Huangfu X.The biomechanical and clinical application of using the anterior half of the peroneus longus tendon as an autograft source[J]. Am J Sports Med, 2012, 40(3): 662-671.
[26] Joshi S, Shetty UC, Salim MD, et al.Peroneus longus tendon autograft for anterior cruciate ligament reconstruction: asafe and effective alternative in nonathletic patients[J]. Niger J Surg, 2021, 27(1): 42-47.
[27] Omid R, Heckmann N, Wang L, et al.Biomechanical comparison between the trapezius transfer and latissimus transfer for irreparable posterosuperior rotator cuff tears[J]. J Shoulder Elbow Surg, 2015, 24(10): 1635-1643.
[28] Shi FD, Hess DE, Zuo JZ, et al.Peroneus longus tendon autograft is a safe and effective alternative for anterior cruciate ligament reconstruction[J]. J Knee Surg, 2019, 32(8): 804-811.
[29] Wu S, Rothrauff B, Li J, et al.Minimizing risk of iatrogenic nerve injury during peroneus longus tendon autograft harvest: a cadaveric study at different ankle or knee positions[J]. Knee Surg Sports Traumatol Arthrosc, 2023, 31(6): 2454-2460.
[30] Srikumaran U, Russo R, Familiari F.Subacromial balloon spacer for massive irreparable rotator cuff tears[J]. Arthroscopy, 2023, 39(3): 576-577.
[31] Chevalier Y, Pietschmann MF, Thorwächter C, et al.Biodegradable spacer reduces the subacromial pressure: a biomechanical cadaver study[J]. Clin Biomech (Bristol, Avon), 2018, 52: 41-48.
[32] Fathi A, Bashrum BS, Kim MS, et al.Evaluation of spin in reviews of biodegradable balloon spacers for massive irreparable rotator cuff tears[J]. J Shoulder Elbow Surg, 2024, 33(1): 13-20.
[33] Kunze KN, Moran J, Cecere R, et al.High rate of clinically meaningful achievement in outcomes after subacromial balloon spacer implantation for massive irreparable rotator cuff tears: asystematic review and meta-analysis[J]. Am J Sports Med,2024, 52(1): 286-294.
[34] Gervasi E, Maman E, Dekel A, et al.Fluoroscopically guided subacromial spacer implantation for massive rotator cuff tears: two years of prospective follow-up[J]. Orthop J Sports Med,2021, 9(4): 232-246.
[35] Gervasi E, Maman E, Dekel A, et al.Fluoroscopy-guided biodegradable spacer implantation using local anesthesia: safety and efficacy study in patients with massive rotator cuff tears[J]. Musculoskelet Surg, 2016, 100(1): 19-24.
[36] Gerber C, Vinh TS, Hertel R, et al.Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. A preliminary report[J]. Clin Orthop Relat Res, 1988, (232): 51-61.
[37] Gerber C, Rahm SA, Catanzaro S, et al.Latissimus dorsi tendon transfer for treatment of irreparable posterosuperior rotator cuff tears: long-term results at a minimum follow-up of ten years[J]. J Bone Joint Surg Am, 2013, 95(21): 1920-1926.
[38] El-Azab HM, Rott O, Irlenbusch U.Long-term follow-up after latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears[J]. J Bone Joint Surg Am, 2015, 97(6): 462-469.
[39] Baek CH, Lee DH, Kim JG.Latissimus dorsi transfer vs. lower trapezius transfer for posterosuperior irreparable rotator cuff tears[J]. J Shoulder Elbow Surg, 2022, 31(9): 1810-1822.
[40] Hartzler RU, Barlow JD, An KN, et al.Biomechanical effectiveness of different types of tendon transfers to the shoulder for external rotation[J]. J Shoulder Elbow Surg, 2012, 21(10): 1370-1376.
[41] Jeong JY, Cha HE.Reverse total shoulder arthroplasty in the massive rotator cuff tear[J]. J Korean Orthop Assoc, 2014, 17(3): 145-150.
[42] Burden EG, Batten TJ, Smith CD, et al. Reverse total shoulder arthroplasty[J]. Bone Joint J, 2021, 103-B(5): 813-821.

Recent advances on diagnosis and treatment of massive rotator cuff tears

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 0

Recommended Articles

Metrics

Comments