title: The rotator cuff. Large and massive tears. Technique of open repair.
abstract: Symptomatic large and massive rotator cuff tears can be successfully managed with operative repair. Five factors that facilitate favorable results include: (1) performing an adequate subacromial decompression; (2) maintaining the integrity of the deltoid origin; (3) mobilizing the torn tendons, performing an interval slide when indicated; (4) repairing the tendons to bone; and (5) carefully staging and supervising the rehabilitation program.
authors.affiliation: Department of Orthopaedic Surgery, Columbia University, Columbia College of Physicians and Surgeons, New York, New York, USA.
authors.forename: F A
authors.initials: FA
authors.lastname: Cordasco
authors.forename: L U
authors.initials: LU
authors.lastname: Bigliani
mesh_terms: D000328:Adult; D019299:Decompression, Surgical / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D012421:Rupture; D019534:Shoulder Impingement Syndrome / Q000209:etiology / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000379:methods; D013536:Suture Techniques; D013708:Tendon Injuries / Q000175:diagnosis