UNREPAIRABLE TEARS WITHOUT ARTHROPATHY (NON-REVERSE ARTHROPLASTY)
In the absence of reliable evidence, it is the opinion of the workgroup that physical therapy, biceps tenotomy/tenodesis, partial repair, tendon transfer, superior capsular reconstruction, arthroscopic debridement, balloon spacers, graft interposition, or graft augmentation (non-porcine) can improve patient-reported outcomes.
CONSENSUS RECOMMENDATION Rationale
- Metcalfe, A., Parsons, H., Parsons, N., Brown, J., Fox, J., Gemperle Mannion, E., Haque, A., Hutchinson, C., Kearney, R., Khan, I., Lawrence, T., Mason, J., Stallard, N., Underwood, M., Drew, S. Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder (START:REACTS): a group-sequential, double-blind, multicentre randomised controlled trial. Lancet 2022; 10339: 1954-1963
- Ono, Y., LeBlanc, J., Bois, A. J., Tsuchiya, S., Thangarajah, T., More, K. D., Lo, I. K. Y. Graft Healing Is More Important Than Graft Technique: Superior Capsular Reconstruction Versus Bridging Grafts-A Prospective Randomized Controlled Trial. Arthroscopy 2022; 12: 3109-3117
- Ozturk, B. Y., Ak, S., Gultekin, O., Baykus, A., Kulduk, A. Prospective, randomized evaluation of latissimus dorsi transfer and superior capsular reconstruction in massive, irreparable rotator cuff tears. Journal of Shoulder & Elbow Surgery 2021; 7: 1561-1571
- Verma, N., Srikumaran, U., Roden, C. M., Rogusky, E. J., Lapner, P., Neill, H., Abboud, J. A. InSpace Implant Compared with Partial Repair for the Treatment of Full-Thickness Massive Rotator Cuff Tears: A Multicenter, Single-Blinded, Randomized Controlled Trial. Journal of Bone & Joint Surgery - American Volume 2022; 14: 1250-1262
- Wong, I., Sparavalo, S., King, J. P., Coady, C. M. Bridging Allograft Reconstruction Is Superior to Maximal Repair for the Treatment of Chronic, Massive Rotator Cuff Tears: Results of a Prospective, Randomized Controlled Trial. American Journal of Sports Medicine 2021; 12: 3173-3183