Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction
Although uncommon, rotator cuff tears that occur medially at the musculotendinous junction can result from acute trauma, anatomic force imbalance, or medial row cuff failure following a previous rotator cuff repair. The quality of the torn muscle and tendon along with the length of the remnant tendo...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-08-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221262871730083X |
| _version_ | 1818595654676512768 |
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| author | Peter J. Millett, M.D., M.Sc. Zaamin B. Hussain, B.A. Erik M. Fritz, M.D. Ryan J. Warth, M.D. J. Christoph Katthagen, M.D. Jonas Pogorzelski, M.D., M.H.B.A. |
| author_facet | Peter J. Millett, M.D., M.Sc. Zaamin B. Hussain, B.A. Erik M. Fritz, M.D. Ryan J. Warth, M.D. J. Christoph Katthagen, M.D. Jonas Pogorzelski, M.D., M.H.B.A. |
| author_sort | Peter J. Millett, M.D., M.Sc. |
| collection | DOAJ |
| description | Although uncommon, rotator cuff tears that occur medially at the musculotendinous junction can result from acute trauma, anatomic force imbalance, or medial row cuff failure following a previous rotator cuff repair. The quality of the torn muscle and tendon along with the length of the remnant tendon stump should be considered before deciding on the most appropriate repair technique. When muscle and tendon quality are sufficient, the tear can often be repaired directly to the remnant tendon stump and compressed onto the greater tuberosity. If the remnant tendon stump is degenerative, of insufficient length, or lacks tendon in which to place sutures, an allograft patch can be used to augment the repair. When the quality of the remaining muscle and tendon are poor or when the muscle is retracted too far medially and is nonmobile, a bridging technique such as superior capsule reconstruction is preferable. The purpose of this report is to (1) highlight that medial cuff failure can occur both primarily and after previous repair; (2) define and classify the 3 major tear patterns that are encountered, and (3) describe the authors' preferred techniques for medial cuff repair that specifically address each of the major tear patterns. |
| first_indexed | 2024-12-16T11:19:27Z |
| format | Article |
| id | doaj.art-8cc1f6376bff40ce9808c0f46d080098 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-16T11:19:27Z |
| publishDate | 2017-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-8cc1f6376bff40ce9808c0f46d0800982022-12-21T22:33:31ZengElsevierArthroscopy Techniques2212-62872017-08-0164e1075e1085Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and ReconstructionPeter J. Millett, M.D., M.Sc.0Zaamin B. Hussain, B.A.1Erik M. Fritz, M.D.2Ryan J. Warth, M.D.3J. Christoph Katthagen, M.D.4Jonas Pogorzelski, M.D., M.H.B.A.5Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Peter J. Millett, M.D., M.Sc., Steadman Philippon Research Institute, The Steadman Clinic, 181 West Meadow Drive, Suite 400, Vail, CO 81657, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Although uncommon, rotator cuff tears that occur medially at the musculotendinous junction can result from acute trauma, anatomic force imbalance, or medial row cuff failure following a previous rotator cuff repair. The quality of the torn muscle and tendon along with the length of the remnant tendon stump should be considered before deciding on the most appropriate repair technique. When muscle and tendon quality are sufficient, the tear can often be repaired directly to the remnant tendon stump and compressed onto the greater tuberosity. If the remnant tendon stump is degenerative, of insufficient length, or lacks tendon in which to place sutures, an allograft patch can be used to augment the repair. When the quality of the remaining muscle and tendon are poor or when the muscle is retracted too far medially and is nonmobile, a bridging technique such as superior capsule reconstruction is preferable. The purpose of this report is to (1) highlight that medial cuff failure can occur both primarily and after previous repair; (2) define and classify the 3 major tear patterns that are encountered, and (3) describe the authors' preferred techniques for medial cuff repair that specifically address each of the major tear patterns.http://www.sciencedirect.com/science/article/pii/S221262871730083X |
| spellingShingle | Peter J. Millett, M.D., M.Sc. Zaamin B. Hussain, B.A. Erik M. Fritz, M.D. Ryan J. Warth, M.D. J. Christoph Katthagen, M.D. Jonas Pogorzelski, M.D., M.H.B.A. Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction Arthroscopy Techniques |
| title | Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction |
| title_full | Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction |
| title_fullStr | Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction |
| title_full_unstemmed | Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction |
| title_short | Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction |
| title_sort | rotator cuff tears at the musculotendinous junction classification and surgical options for repair and reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S221262871730083X |
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