Reverse Total Shoulder Arthroplasty in the Massive Rotator Cuff Tear

Jeong,  Jin Young; Cha,  Hong Eun

doi:2014.17.3.145

Clin Shoulder Elb > Volume 17(3); 2014 > Article

Review

Clinics in Shoulder and Elbow 2014;17(3):145-150.
DOI: https://doi.org/10.5397/CiSE.2014.17.3.145 Published online September 30, 2014.

Reverse Total Shoulder Arthroplasty in the Massive Rotator Cuff Tear

Jin Young Jeong, Hong Eun Cha

Department of Orthopedic Surgery, The Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea. osjeong@hotmail.com

Received: 6 July 2014 • Revised: 14 August 2014 • Accepted: 18 August 2014

Abstract

In the patients of retracted massive rotator cuff tears, there are much of difficulty to functional recovery and pain relief. Nevertheless the development of treatment, there are still debates of the best treatments in the massive rotator cuff tears. Recenlty various of treatments are introduced; these are acromioplasty with debridement, biceps tenotomy, great tuberoplasty with biceps tenotomy, partial repair, mini-open rotator cuff repair, arthroscopic rotator cuff repair, soft tissue augmentation, tendon transfer, flap, hemiarthroplasty, and reverse total shoulder arthroplasty. That there is no difference of result for reverse total shoulder arthroplasty between patients who have massive rotator cuff tear without arthritis and patients who have cuff tear arthropathy. Reverse total shoulder arthroplasty is one of reliable and successful treatment options for massive rotator cuff tear. Especially it is more effective for patients who have a pseudoparalysis.

Key Words: Reverse total shoulder arthropalsty; Massive rotator cuff tear; Pseudoparalysis; Deltoid dysfunction