Massive and Irreparable Rotator Cuff Tears

Massive and Irreparable Rotator Cuff Tears
PDF
  • eBook:
    Massive and Irreparable Rotator Cuff Tears: From Basic Science to Advanced Treatments
  • Author:
    Nuno Sampaio Gomes, Ladislav Kovačič, Frank Martetschläger, Giuseppe Milano
  • Edition:
    1st ed. 2020 edition
  • Categories:
  • Data:
    April 23, 2020
  • ISBN:
    3662611619
  • ISBN-13:
    9783662611616
  • Language:
    English
  • Pages:
    401 pages
  • Format:
    PDF

Book Description
This book offers a truly comprehensive overview of the understanding and treatment of massive and irreparable rotator cuff tears, a painful and disabling shoulder condition that continues to pose major challenges. A thorough examination of basic science issues and evidence lays the foundation for discussion of key controversies in the field and exposition of a practical approach to treatment in which the role of both conservative and surgical management is explained. Special insights are provided into the new biological and nonoperative approaches that are becoming increasingly popular among practitioners. All potential surgical techniques are described, from partial repair and tendon transfer, to the use of dedicated implants. In addition, the value of anesthesia and regional blocks, both during surgery and in the postoperative phase, is discussed. The concluding section addresses particularly complex scenarios and offers guidance on the management of treatment complications and failures. Written by leading international shoulder experts, the book will be of value for shoulder surgeons, rehabilitators, and other health care practitioners.

Content

Part I Basic Science
1. Massive and Irreparable Rotator Cuff Tears: Defining the Problem
2. Biology of Rotator Cuff Injury and Repair
3. Biomechanics of Rotator Cuff Repair
4. Re-rupture or Non-healing? Factors Determining an Unsuccessful Repair
5. Biological Augmentation in Rotator Cuff Repair: Growth Factors
6. Biological Augmentation in Rotator Cuff Repair: Cell Therapies
7. Biological Augmentation in Rotator Cuff Repair: Scaffolds
8. Imaging of Repaired Rotator Cuff

Part II Controversies in Massive Rotator Cuff Tears
9. Clinical Outcome vs. Structural Integrity: What Really Matters?
10. Fatty Infiltration and Muscle Atrophy. What It Means and What Happens After Repair?
11. Pseudoparalysis: Pathomechanics and Clinical Relevance
12. Rotator Cuff Tear Arthropathy: Where Are the Limits for Repair?
13. Suprascapular Nerve Release: Fact or Fiction
14. Traumatic Cuff Tears: The Relevance of Timing
15. Critical Shoulder Angle: Does Lateral Acromioplasty Have a Role in Preventing Re-rupture?
16. Shoulder Injections: Options, Ultrasound Assistance, Evidences
17. Nonoperative Treatment: The Role of Rehabilitation
18. Patient Expectation in the Treatment of Rotator Cuff Tears: What Is Its Role?
19. Treatment of Massive Irreparable Cuff Tears: Decision Making Process

Part III Surgical Techniques
20. Partial Repair
21. Patch Graft Augmentation
22. Superior Capsule Reconstruction
23. Posterosuperior Massive Irreparable Rotator Cuff Tears: The Biceps Autograft
24. Tendon Transfer for Posterosuperior Cuff: Latissimus Dorsi Transfer
25. Tendon Transfer for Posterosuperior Cuff: Lower Trapezius Transfer
26. Tendon Transfer for Anterosuperior Cuff: The Pectoralis Major Transfer
27. Tendon Transfer for Anterosuperior Cuff: Latissimus Dorsi Transfer
28. Subacromial Spacer
29. Reverse Total Shoulder Arthroplasty
30. Regional Blocks and Opioid-Sparing Anesthesia: Helping the Surgeon and with Patients’ Satisfaction

Part IV Complex and Revision Problems
31. Traumatic Rotator Cuff Tears with Shoulder Stiffness
32. Failed Rotator Cuff Repair: Decision-Making Algorithm
33. How to Avoid Complications in Tendon Transfers
34. Management of Bone Loss in Rotator Cuff Tear Arthropathy
35. Workup and Management of Infection in Shoulder Arthroplasty
36. Biomechanics of Failure of Reverse Shoulder Arthroplasty in Rotator Cuff Tear Arthropathy
37. Revision of Reverse Total Shoulder Arthroplasty: Humeral Component
38. Case Example 1: Failure of Rotator Cuff Repair
39. Case Example 2: Combined Massive Rotator Cuff Tear and Recurrent Shoulder Instability
40. Case Example 3: Reverse Arthroplasty Versus Other Treatment Options
41. Case Example 4: Massive Rotator Cuff Tear and Patient-Specific Rehabilitation in Sportsmen
42. Case Example 5: Revision Arthroscopic Rotator Cuff Repair

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