Related Experiment Video
Updated: May 25, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Massive rotator cuff tears without arthropathy: when to consider reverse shoulder arthroplasty
Kevin L Harreld1, Brian L Puskas, Mark A Frankle
1Florida Orthopaedic Institute, Tampa, FL, USA.
Reverse shoulder arthroplasty can treat massive rotator cuff tears, especially those causing instability. Surgeons should carefully consider patient selection to ensure optimal outcomes and avoid unnecessary procedures.
Area of Science:
- Orthopaedic Surgery
- Biomechanical Engineering
Background:
- Massive rotator cuff tears pose significant challenges in orthopaedics.
- Various surgical options exist, including reverse shoulder arthroplasty (RSA).
Observation:
- RSA is increasingly used for massive rotator cuff tears, particularly for instability without glenohumeral arthritis.
- Indications include pseudoparalysis and irreparable tears, with or without anterosuperior escape.
Findings:
- Differential diagnosis is crucial, as conditions like axillary nerve injury can mimic pseudoparalysis.
- RSA may offer limited benefits in patients with preserved active forward elevation (>90°).
Implications:
- Careful patient selection is vital for successful RSA in massive rotator cuff tears.
- Understanding the specific indications and contraindications optimizes functional restoration and pain relief.
More Related Videos
07:22Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
07:10Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
Published on: March 6, 2026