Subacromial Balloon Spacer for Massive Irreparable Rotator Cuff Tear is Cost-Effective in Older, Low-Demand Patients With Massive Irreparable Rotator Cuff Tear and Severe Comorbidities
The InSpace subacromial balloon spacer (Stryker, USA) is indicated for the treatment of massive irreparable rotator cuff tears. The device is placed in the subacromial space with the aim of restoring shoulder function by limiting painful acromiohumeral contact and recentering the superiorly migrated humeral head. However, controversy exists because two randomized controlled trials have produced conflicting findings with regards to efficacy.
Long-term, clinical outcome of arthroscopic rotator cuff repair may be improved with concomitant acromioplasty in patients with a Type III acromion
In theory, extrinsic anterolateral acromial impingement of the rotator cuff can contribute to cuff tearing. Thus, acromioplasty may be performed concomitantly with arthroscopic rotator cuff repair (ARCR). A review of recent randomized controlled trials confirms that patient long-term outcomes after ARCR is superior when acromioplasty is performed, when compared to no concomitant acromioplasty, while complication and retear rates are similar.
How to Wear a Shoulder Sling
A shoulder sling keeps your arm against your body and prevents you from moving it too much. However, if you wear a shoulder sling the wrong way, you might slow healing or injure your arm more.
Enhancing Healing of Massive Rotator Cuff Tears: A Radiographic Evaluation of Bridging Allograft vs. Maximal Repair - A Randomized Control Trial
The purpose of this study was to compare the radiographic results of bridging rotator cuff reconstruction (BRR) with dermal allograft and maximal repair for large or massive, irreparable rotator cuff tears.
When Not to Have Rotator Cuff Surgery
Rotator cuff tears may require surgery to repair, but they can often heal with rest, physical therapy, and medication when needed. Discuss with your orthopedist when to have or not have rotator cuff surgery.