Aktuelle Behandlungskonzepte für Massenrupturen der Rotatorenmanschette

S. A. Euler; U. J. Spiegl; P. J. Millett; M. Petri

doi:10.1055/s-0035-1558056

Zeitschrift für Orthopädie und Unfallchirurgie, Table of Contents

Z Orthop Unfall 2016; 154(01): 28-34
DOI: 10.1055/s-0035-1558056

Übersicht

Georg Thieme Verlag KG Stuttgart · New York

Aktuelle Behandlungskonzepte für Massenrupturen der Rotatorenmanschette

Current concepts for treatment of massive rotator cuff tears

Authors

S. A. Euler

¹Universitätsklinik für Unfallchirurgie, Medizinische Universität Innsbruck, Österreich
U. J. Spiegl

²Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig
P. J. Millett

³Orthopedics, The Steadman Clinic, Vail, Colorado, United States
M. Petri

⁴Klinik für Unfallchirurgie, Medizinische Hochschule Hannover (MHH)

Abstract

Zusammenfassung

Die Wahl der geeigneten Therapie einer Massenruptur der Rotatorenmanschette wird von Morphologie und Chronizität der Ruptur, Qualität der Muskeln und Sehnen, dem Ausmaß der vorliegenden Arthrose und patientenspezifischen Faktoren beeinflusst. Traditionell wurde fälschlicherweise „Massenruptur“ oft mit „irreparabler Ruptur“ gleichgesetzt. Zahlreiche Verbesserungen von Operationstechnik und -materialien ermöglichen jedoch inzwischen, dass bei Versagen der konservativen Therapie auch viele Massenrupturen erfolgreich arthroskopisch behandelt werden können. Diese Arbeit gibt eine Übersicht über die derzeit möglichen Verfahren zur Behandlung großer und massiver Rupturen sowie deren Erfolgsaussichten. Außerdem wird ein möglicher Behandlungsalgorithmus vorgeschlagen.

Abstract

The ideal treatment for massive rotator cuff tears is influenced by the morphology and chronicity of the tear, tissue quality, the degree of concomitant osteoarthritis, and patient-specific factors. Traditionally, massive rotator cuff tears have wrongly been equated with irreparable tears. A variety of improvements in surgical technique and materials now permit successful arthroscopic management of many massive rotator cuff tears when non-operative management has failed. This study provides an overview of the current treatment options for large and massive rotator cuff tears, including their expected outcomes. Finally, a possible treatment algorithm is suggested.

Schlüsselwörter

Rotatorenmanschette - Massenruptur - Rotatorenmanschettennaht - Behandlungsalgorithmus - Rekonstruktion

Key words

rotator cuff - massive rotator cuff tear - rotator cuff repair - treatment algorithm - reconstruction

Full Text

References

Literatur
1 Liem D, Buschmann VE, Schmidt C et al. The prevalence of rotator cuff tears: is the contralateral shoulder at risk?. Am J Sports Med 2014; 42: 826-830
2 Sher JS, Uribe JW, Posada A et al. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 1995; 77: 10-15
3 Cofield RH, Parvizi J, Hoffmeyer PJ et al. Surgical repair of chronic rotator cuff tears. A prospective long-term study. J Bone Joint Surg Am 2001; 83: 71-77
4 Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am 2000; 82: 505-515
5 Burkhart SS. Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop Relat Res 1991; 267: 45-56
6 Gerber C, Wirth SH, Farshad M. Treatment options for massive rotator cuff tears. J Shoulder Elbow Surg 2011; 20: 20-29
7 Lahteenmaki HE, Virolainen P, Hiltunen A et al. Results of early operative treatment of rotator cuff tears with acute symptoms. J Shoulder Elbow Surg 2006; 15: 148-153
8 Cole BJ, McCarty 3rd LP, Kang RW et al. Arthroscopic rotator cuff repair: prospective functional outcome and repair integrity at minimum 2-year follow-up. J Shoulder Elbow Surg 2007; 16: 579-585
9 Millett PJ, Mazzocca A, Guanche CA. Mattress double anchor footprint repair: a novel, arthroscopic rotator cuff repair technique. Arthroscopy 2004; 20: 875-879
10 Weiner DS, Macnab I. Superior migration of the humeral head. A radiological aid in the diagnosis of tears of the rotator cuff. J Bone Joint Surg Br 1970; 52: 524-527
11 Moor BK, Bouaicha S, Rothenfluh DA et al. Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint?: A radiological study of the critical shoulder angle. Bone Joint J 2013; 95: 935-941
12 Hamada K, Yamanaka K, Uchiyama Y et al. A radiographic classification of massive rotator cuff tear arthritis. Clin Orthop Relat Res 2011; 469: 2452-2460
13 Nyffeler RW, Werner CM, Sukthankar A et al. Association of a large lateral extension of the acromion with rotator cuff tears. J Bone Joint Surg Am 2006; 88: 800-805
14 Zumstein MA, Jost B, Hempel J et al. The clinical and structural long-term results of open repair of massive tears of the rotator cuff. J Bone Joint Surg Am 2008; 90: 2423-2431
15 Spiegl UJ, Horan MP, Smith SW et al. The critical shoulder angle is associated with rotator cuff tears and shoulder osteoarthritis and is better assessed with radiographs over MRI. Knee Surg Sports Traumatol Arthrosc 2015; [Epub ahead of print]
16 Goutallier D, Postel JM, Bernageau J et al. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994; 304: 78-83
17 Mellado JM, Calmet J, Olona M et al. Surgically repaired massive rotator cuff tears: MRI of tendon integrity, muscle fatty degeneration, and muscle atrophy correlated with intraoperative and clinical findings. AJR Am J Roentgenol 2005; 184: 1456-1463
18 Thomazeau H, Rolland Y, Lucas C et al. Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 1996; 67: 264-268
19 Patte D. Classification of rotator cuff lesions. Clin Orthop Relat Res 1990; 254: 81-86
20 Zingg PO, Jost B, Sukthankar A et al. Clinical and structural outcomes of nonoperative management of massive rotator cuff tears. J Bone Joint Surg Am 2007; 89: 1928-1934
21 Neri BR, Chan KW, Kwon YW. Management of massive and irreparable rotator cuff tears. J Shoulder Elbow Surg 2009; 18: 808-818
22 Fenlin jr. JM, Chase JM, Rushton SA et al. Tuberoplasty: creation of an acromiohumeral articulation-a treatment option for massive, irreparable rotator cuff tears. J Shoulder Elbow Surg 2002; 11: 136-142
23 Frank JM, Chahal J, Frank RM et al. The role of acromioplasty for rotator cuff problems. Orthop Clin North Am 2014; 45: 219-224
24 Franceschi F, Papalia R, Vasta S et al. Surgical management of irreparable rotator cuff tears. Knee Surg Sports Traumatol Arthrosc 2015; 23: 494-501
25 Boileau P, Baqué F, Valerio L et al. Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff tears. J Bone Joint Surg Am 2007; 89: 747-757
26 Klinger HM, Spahn G, Baums MH et al. Arthroscopic debridement of irreparable massive rotator cuff tears–a comparison of debridement alone and combined procedure with biceps tenotomy. Acta Chir Belg 2005; 105: 297-301
27 Butler BR, Byrne AN, Higgins LD et al. Results of the repair of acute rotator cuff tears is not influenced by tear retraction. Int J Shoulder Surg 2013; 7: 91-99
28 Cordasco FA, Bigliani LU. The rotator cuff. Large and massive tears. Technique of open repair. Orthop Clin North Am 1997; 28: 179-193
29 Warner JP, Krushell RJ, Masquelet A et al. Anatomy and relationships of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg Am 1992; 74: 36-45
30 Millett PJ, Warth RJ, Dornan GJ et al. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg 2014; 23: 586-597
31 Park MC, Elattrache NS, Ahmad CS et al. “Transosseous-equivalent” rotator cuff repair technique. Arthroscopy 2006; 22: 1360-1365
32 Millett PJ, Horan MP, Maland KE et al. Long-term survivorship and outcomes after surgical repair of full-thickness rotator cuff tears. J Shoulder Elbow Surg 2011; 20: 591-597
33 Perser K, Godfrey D, Bisson L. Meta-analysis of clinical and radiographic outcomes after arthroscopic single-row versus double-row rotator cuff repair. Sports Health 2011; 3: 268-274
34 Prasathaporn N, Kuptniratsaikul S, Kongrukgreatiyos K. Single-row repair versus double-row repair of full-thickness rotator cuff tears. Arthroscopy 2011; 27: 978-985
35 Sheibani-Rad S, Giveans MR, Arnoczky SP et al. Arthroscopic single-row versus double-row rotator cuff repair: a meta-analysis of the randomized clinical trials. Arthroscopy 2013; 29: 343-348
36 Chen M, Xu W, Dong Q et al. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: a systematic review and meta-analysis of current evidence. Arthroscopy 2013; 29: 1437-1449
37 Zhang Q, Ge H, Zhou J et al. Single-row or double-row fixation technique for full-thickness rotator cuff tears: a meta-analysis. PLoS One 2013; 8: e68515
38 Xu C, Zhao J, Li D. Meta-analysis comparing single-row and double-row repair techniques in the arthroscopic treatment of rotator cuff tears. J Shoulder Elbow Surg 2014; 23: 182-188
39 Ying ZM, Lin T, Yan SG. Arthroscopic single-row versus double-row technique for repairing rotator cuff tears: a systematic review and meta-analysis. Orthop Surg 2014; 6: 300-312
40 Jo CH, Shin JS, Lee YG et al. Platelet-rich plasma for arthroscopic repair of large to massive rotator cuff tears: a randomized, single-blind, parallel-group trial. Am J Sports Med 2013; 41: 2240-2248
41 Warth RJ, Dornan GJ, James EW et al. Clinical and structural outcomes after arthroscopic repair of full-thickness rotator cuff tears with and without platelet-rich product supplementation: a meta-analysis and meta-regression. Arthroscopy 2015; 31: 306-320
42 Flury M. [Arthroscopic rotator cuff repair with patch augmentation]. Oper Orthop Traumatol 2012; 24: 486-494
43 van der Meijden OA, Wijdicks CA, Gaskill TR et al. Biomechanical analysis of two-tendon posterosuperior rotator cuff tear repairs: extended linked repairs and augmented repairs. Arthroscopy 2013; 29: 37-45
44 McCarron JA, Milks RA, Chen X et al. Improved time-zero biomechanical properties using poly-L-lactic acid graft augmentation in a cadaveric rotator cuff repair model. J Shoulder Elbow Surg 2010; 19: 688-696
45 Burkhart SS, Danaceau SM, Pearce jr. CE. Arthroscopic rotator cuff repair: Analysis of results by tear size and by repair technique-margin convergence versus direct tendon-to-bone repair. Arthroscopy 2001; 17: 905-912
46 Duralde XA, Bair B. Massive rotator cuff tears: the result of partial rotator cuff repair. J Shoulder Elbow Surg 2005; 14: 121-127
47 Resch H, Povacz P, Ritter E et al. Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon. J Bone Joint Surg Am 2000; 82: 372-382
48 Gerber C, Maquieira G, Espinosa N. Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 2006; 88: 113-120
49 Elhassan B, Ozbaydar M, Massimini D et al. Transfer of pectoralis major for the treatment of irreparable tears of subscapularis: does it work?. J Bone Joint Surg Br 2008; 90: 1059-1065
50 Gerber C, Rahm SA, Catanzaro S et al. Latissimus dorsi tendon transfer for treatment of irreparable posterosuperior rotator cuff tears: long-term results at a minimum follow-up of ten years. J Bone Joint Surg Am 2013; 95: 1920-1926
51 Aldridge 3rd JM, Atkinson TS, Mallon WJ. Combined pectoralis major and latissimus dorsi tendon transfer for massive rotator cuff deficiency. J Shoulder Elbow Surg 2004; 13: 621-629
52 Grammont PM, Baulot E. Delta shoulder prosthesis for rotator cuff rupture. Orthopedics 1993; 16: 65-68
53 Cuff D, Pupello D, Virani N et al. Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Joint Surg Am 2008; 90: 1244-1251
54 Sershon RA, Van Thiel GS, Lin EC et al. Clinical outcomes of reverse total shoulder arthroplasty in patients aged younger than 60 years. J Shoulder Elbow Surg 2014; 23: 395-400
55 Favard L, Levigne C, Nerot C et al. Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time?. Clin Orthop Relat Res 2011; 469: 2469-2475