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The Journal of Bone and Joint Surgery 79:784-93 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Failed Repair of the Rotator Cuff. Evaluation and Treatment of Complications*{dagger}

EVAN H. KARAS, M.D.{ddagger}and and JOSEPH P. IANNOTTI, M.D., PH.D.{ddagger}, PHILADELPHIA, PENNSYLVANIA

An Instructional Course Lecture. The American Academy of Orthopaedic Surgeons


   Introduction
 
Operative repair of a tear of the rotator cuff usually provides relief of pain8,21,22,36,41,48,54. Restoration of strength is somewhat less predictable, but the rate of over-all patient satisfaction after primary repair of the rotator cuff has been reported to be as high as 91 per cent in a series of 340 shoulders21,36. Improved operative techniques that have been developed over the last several decades have been largely responsible for this success. However, operative repairs do fail. These failures present diagnostic and therapeutic challenges, as they may be due to multiple reasons. Identification of the cause in a given patient requires a thorough evaluation that includes a complete history, physical examination, and review of the radiographs and the ancillary studies. Only then can an effective treatment plan be established. Although the results of repair of recurrent tears of the rotator cuff have not been as satisfactory as those of . . . [Full Text of this Article]


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