Go Back   Rearm Yourself Community Forum > Main Category > Main Forum

Thread Tools Display Modes
Old 04-03-2010, 10:59 AM
mtomaino's Avatar
mtomaino mtomaino is offline
Super Moderator
Join Date: Mar 2010
Posts: 144
Default Irreparable Rotator Cuff? There may be a minimally invasive solution

Many "older" patients with poor overhead motion and pain, but a well centered humeral head in the socket may have unfixable tears of their rotator cuff. Although reverse shoulder replacement may be an option if the pain becomes too bad, there may be a minimally invasive solution even when cuff repair is not possible. If one can elevate to shoulder level, but not above, pain from a degenerative biceps tendon may be the cause.

Dr Pascal Boileau (see article reference below) has shown that a simple biceps tenotomy (or tenodesis) may help---thus obviating the need for shoulder replacement. Further, this option, which takes about 15 minutes, and can be performed as an outpatient, and does not "burn the bridge" of arthroplasty in the future. So, if you know a friend, or loved one who is disadvantaged by shoulder pain, and lack of motion, there may be hope even if their rotator cuff is not fixable.

Isolated Arthroscopic Biceps Tenotomy or Tenodesis Improves Symptoms in Patients with Massive Irreparable Rotator Cuff Tears
The article below was published in The Journal of Bone and Joint Surgery: 2007;89:747-757.
Reply With Quote

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump

All times are GMT -4. The time now is 08:42 AM.

Powered by vBulletin® Version 3.8.4
Copyright ©2000 - 2021, Jelsoft Enterprises Ltd.