Tratamiento artroscópico de las roturas masivas del manguito rotador
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2015
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Abstract
The arthroscopic repair of a massive rotator cuff tear, is a technically demanding procedure. It
requires correct indications, good arthroscopic skills and a proper rehabilitation program. The clinical study of
the patient and the instances of the rotator cuff injury, are fundamental to determine a correct therapeutic strategy.
This strategy should consider every option from non-surgical to arthroscopic repair, tendon transfers, subacromial
spreaders or shoulder arthroplasties. The arthroscopic repair is the standard treatment in patients with
massive repairable tears and with no fatty degeneration of the affected muscle. Meanwhile, the tendon transfers
are indicated in young patients with highly functional demands that comprehend irreparable massive tears. The
spreaders or subacromial balloons and the shoulder prosthesis are performed in irreparable tears in low functional
demand patients.
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Sánchez Alepuz, Eduardo ; Díaz Martínez, J.V. ; Barceló Bañuls, J. M. ; Lucas García, F. ; Carratalá Baixauli, V.. Tratamiento artroscópico de las roturas masivas del manguito rotador. En: Revista española de cirugía osteoarticular, 2015, Volume 50, Número 261: 15-26