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Related Concept Videos

Muscles that Move the Arm01:31

Muscles that Move the Arm

Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...

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Updated: Jul 16, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears

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Deep infection after rotator cuff repair.

George S Athwal1, John W Sperling, Damian M Rispoli

  • 1University of Western Ontario, Hand and Upper Limb Centre, St Joseph's Health Care, London, Ontario, Canada.

Journal of Shoulder and Elbow Surgery
|February 27, 2007
PubMed
Summary

Deep infection after rotator cuff repair is possible but challenging. While eradication is achievable, significant functional limitations often persist, with Propionibacterium acnes being a common culprit.

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Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Musculoskeletal Research

Background:

  • Limited data exists on outcomes for patients experiencing infection post-rotator cuff repair.
  • Deep infection following rotator cuff surgery presents unique challenges in patient management and recovery.

Purpose of the Study:

  • To retrospectively analyze the incidence, clinical presentation, bacteriology, treatment, and outcomes of deep infections after rotator cuff repair.
  • To provide insights into managing patients with post-rotator cuff repair infections.

Main Methods:

  • Retrospective review of 39 cases of deep infection in 38 patients who underwent rotator cuff repair between 1975 and 2003.
  • Evaluation of clinical outcomes, including range of motion and functional scores, at an average follow-up of 8.2 years.

Main Results:

  • Propionibacterium acnes was the most frequent pathogen, identified in 51% of cases.
  • At final follow-up, average active elevation was 120 degrees, external rotation 45 degrees, ASES score 67, and SST score 7.3.
  • Outcomes were categorized as excellent (7), satisfactory (9), and unsatisfactory (11).

Conclusions:

  • Eradication of deep infection after rotator cuff repair is feasible, though significant functional deficits are common.
  • Surgeons must consider the high prevalence of Propionibacterium acnes and allow extended culture times (≥7 days) for accurate identification.