Treatment of Massive Irreparable Rotator Cuff Tear with Arthroscopic Subacromial Bursectomy, Biceps Tenotomy, and Tuberoplasty

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Mirzaee Fatemeh; Aslani Mohammad A.; ZAFARANI ZOHREH; ASLANI HAMID REZA

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Journal Paper

Paper Information

Journal: Archives of Bone and Joint Surgery Year:2019 | Volume:7 | Issue:3 Page(s): 263-268

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Title

Treatment of Massive Irreparable Rotator Cuff Tear with Arthroscopic Subacromial Bursectomy, Biceps Tenotomy, and Tuberoplasty

Author(s)

Mirzaee Fatemeh | Aslani Mohammad A. | ZAFARANI ZOHREH | ASLANI HAMID REZA | Issue Writer Certificate

Keywords

Arthroscopy

Biceps tenotomy

Rotator cuff tear

Tuberoplasty

Abstract

Background: The alternative surgery for massive and irreparable shoulder Rotator cuff tears in older patients is the debridement of subacromial bursa, Biceps tenotomy, and Tuberoplasty (reverse acromioplasty). This study aimed to report the effectiveness of such a treatment performed arthroscopically in a small group of patients for a short period of time. Methods: This prospective study was conducted on 12 patients with massive irreparable Rotator cuff tear during 2014-2017. Participants with the mean age of 65 were subjected to arthroscopic debridement of subacromial bursa, necrotic rotator cuff tendon remnants, and Tuberoplasty without coracoacromial ligament excision. The sign and symptoms of patients before and after the surgery were evaluated based on Modified-University of California at Los Angeles (UCLA) Shoulder Score. Results: With the mean follow-up of 18 months (12-24 months), the mean of the modified UCLA score improved from 9. 2 to 27. 5. The obtained results of the study revealed that the pain and range of motion improved to near normal in the participants. The functional outcome was good although there were a decrease of acromiohumeral distance from 5 to 4 mm and a slight increase in degenerative changes. Conclusion: This simple arthroscopic procedure is recommended for massive irreparable Rotator cuff tear, especially in elderly patients.

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APA: Copy

Mirzaee, Fatemeh, Aslani, Mohammad A., ZAFARANI, ZOHREH, & ASLANI, HAMID REZA. (2019). Treatment of Massive Irreparable Rotator Cuff Tear with Arthroscopic Subacromial Bursectomy, Biceps Tenotomy, and Tuberoplasty. THE ARCHIVES OF BONE AND JOINT SURGERY, 7(3), 263-268. SID. https://sid.ir/paper/746681/en

Vancouver: Copy

Mirzaee Fatemeh, Aslani Mohammad A., ZAFARANI ZOHREH, ASLANI HAMID REZA. Treatment of Massive Irreparable Rotator Cuff Tear with Arthroscopic Subacromial Bursectomy, Biceps Tenotomy, and Tuberoplasty. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2019;7(3):263-268. Available from: https://sid.ir/paper/746681/en

IEEE: Copy

Fatemeh Mirzaee, Mohammad A. Aslani, ZOHREH ZAFARANI, and HAMID REZA ASLANI, “Treatment of Massive Irreparable Rotator Cuff Tear with Arthroscopic Subacromial Bursectomy, Biceps Tenotomy, and Tuberoplasty,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 7, no. 3, pp. 263–268, 2019, [Online]. Available: https://sid.ir/paper/746681/en

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