posterosuperior massive rotator cuff tears
Conditions
Interventions
lower trapezius transfer:arthroscopic lower trapezius transfer with tendon bridging reinforcement repair
maximum partial repair:arthroscopic maximum partial repair
Sponsors
Taizhou Hospital, Zhejiang Province
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. MRI confirmed posterosuperior massive rotator cuff tear (complete tear of supraspinatus and infraspinatus); 2. Adult patients (18-70 years old); 3. Pain and dysfunction severely affect daily life; 4. Conservative treatment failed; 5. Goutallier grade of fatty infiltration in infraspinatus muscle =3; 6. Warner grade of subaspinatus atrophy = moderate; 7. Hamada grade of rotator cuff joint disease =4.
Exclusion criteria
Exclusion criteria: 1. Complete repair surgery is feasible; 2. Uncontrolled diabetes (HBA1c > 7%); 3. Pregnant women; 4. Local or systemic infection exists; 5. Had received local non-vascular interventional therapy; 6. Malnutrition (albumin < 30g/L); 7. Combined with malignant tumor; 8. Combined frozen shoulder; 9. Combined with irreparable subscapular muscle tear; 10. The fat infiltration Goutallier grade of teres minor is =3; 11. Combined deltoid paralysis; 12. Combined with neurological symptoms; 13. Inability to understand or cooperate with postoperative guidance and rehabilitation; 14. Failure to provide informed consent to research.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| American Shoulder and Elbow Surgeons; | — |
Secondary
| Measure | Time frame |
|---|---|
| Constant-Murley shoulder scores;University of California at Los Angeles score;visual analog scale pain score;retear;range of motivation;advance of rotator cuff joint disease;return to work time; | — |
Countries
China
Contacts
Public ContactXiaobo Zhou
Taizhou Hospital, Zhejiang Province
Outcome results
None listed