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Knee Surg Sports Traumatol Arthrosc. 2015 Feb;23(2):449-59. doi: 10.1007/s00167-014-3470-y. Epub 2014 Dec 11.

Decision-making in massive rotator cuff tear.

Author information

1
Hôpital Ambroise Paré - APHP, 9, Avenue du Général de Gaulle, 92100, Boulogne-Billancourt, France, andre.thes@gmail.com.

Abstract

Treatment of massive rotator cuff tears has developed over many years ranging from conservative treatment to open and arthroscopic repair, muscle transfers and reversed arthroplasty. The evolution of more advanced techniques in arthroscopic repair has changed the treatment approach and improved the prognosis for functional outcome despite low healing rates. Due to this rapid development, our evidence-based knowledge today is mainly founded in Level 3 and Level 4 studies. Based on the literature, the current knowledge on treatment of symptomatic massive rotator cuff tears is proposed in an algorithm. Level of evidence V.

PMID:
25502477
DOI:
10.1007/s00167-014-3470-y
[Indexed for MEDLINE]

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