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Current Concepts and Recent Trends in Arthroscopic Treatment of Large to Massive Rotator Cuff Tears: A Review
Clin Should Elbow 2019;22:50-57
Published online March 1, 2019;  https://doi.org/10.5397/cise.2019.22.1.50
© 2019 Korean Shoulder and Elbow Society.

Joseph Y. Rho, Yong suk Kwon, Sungwook Choi

Department of Orthopedic Surgery, Jeju National University School of Medicine, Jeju, Korea
Correspondence to: Sungwook Choi
Department of Orthopedic Surgery, Jeju National University Hospital, 15 Aran 13-gil, Jeju 63241, Korea
Tel: +82-64-754-8116, Fax: +82-64-717-1656, E-mail: swchoi1115@gmail.com, ORCID: https://orcid.org/0000-0003-0319-6208
Review article does not need an IRB approval.
Received October 22, 2018; Revised November 21, 2018; Accepted November 27, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Rotator cuff tear is a common cause of shoulder pain and disability in adults. Due to the various nature of progression of rotator cuff
tears and the complex biomechanics of the shoulder joint, repair and treatment of large-to-massive tears are challenging for many surgeons. Despite the recent popularity of reverse total shoulder arthroplasty as a treatment option for large-to-massive irreparable rotator cuff tears, biological and mechanical repair augmentation has also shown promise as a viable treatment option. The purpose of this study was to briefly summarize and review current studies on the assessment and arthroscopic treatment of large-to-massive rotator cuff tears, whether repairable or irreparable, to aid in developing a consensus on future treatment directions.
Keywords : Rotator cuff tears; Shoulder; Arthroscopy