title: [Current concepts for treatment of massive rotator cuff tears].
abstract: The ideal treatment for massive rotator cuff tears is influenced by the morphology and chronicity of the tear, tissue quality, the degree of concomitant osteoarthritis, and patient-specific factors. Traditionally, massive rotator cuff tears have wrongly been equated with irreparable tears. A variety of improvements in surgical technique and materials now permit successful arthroscopic management of many massive rotator cuff tears when non-operative management has failed. This study provides an overview of the current treatment options for large and massive rotator cuff tears, including their expected outcomes. Finally, a possible treatment algorithm is suggested.
authors.affiliation: Universitätsklinik für Unfallchirurgie, Medizinische Universität Innsbruck, Österreich.
authors.forename: S A
authors.initials: SA
authors.lastname: Euler
authors.affiliation: Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig.
authors.forename: U J
authors.initials: UJ
authors.lastname: Spiegl
authors.affiliation: Orthopedics, The Steadman Clinic, Vail, Colorado, United States.
authors.forename: P J
authors.initials: PJ
authors.lastname: Millett
authors.affiliation: Klinik für Unfallchirurgie, Medizinische Hochschule Hannover (MHH).
authors.forename: M
authors.initials: M
authors.lastname: Petri
mesh_terms: D000465:Algorithms; D001182:Arthroscopy / Q000295:instrumentation / Q000379:methods*; D003131:Combined Modality Therapy / Q000295:instrumentation / Q000379:methods; D019317:Evidence-Based Medicine; D006801:Humans; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D000070636:Rotator Cuff Injuries / Q000175:diagnosis* / Q000628:therapy*; D013536:Suture Techniques; D058971:Tenotomy / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome