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KMID : 0858320100130010161
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Journal of the Korean Shoulder Elbow Society
2010 Volume.13 No. 1 p.161 ~ p.166
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Tendon Transfer for Irreparable Massive Rotator Cuff Tear
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Yum Jae-Kwang
Lee Hee-Sung
Park Sung-Bum
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Abstract
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Purpose: Irreparable massive rotator cuff tears pose a distinct clinical challenge for the orthopaedist and non-surgical treatment has had inconsistent results and proven unsuccessful for chronic symptoms, while surgery, including debridement and partial and complete repairs have had varying degrees of success.
Materials and Methods: For rotator cuff tears that are deemed irreparable, treatment options are limited.
Results and Conclusion: The use of tendon transfers (latissimus dorsi for posterosuperior type cuff defects and pectoralis major for subscapularis defects) in younger patients to reconstruct rotator cuffs and re-establish function and restore shoulder kinematics can be useful in solving this difficult problem.
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KEYWORD
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Shoulder, Irreparable rotator cuff tear, Tendon transfer, Latissimus dorsi, Pectoralis major
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