Cuff tear arthropathy: Current trends in diagnosis and surgical management
Summary Massive tears of the rotator cuff resulting in arthritis of the glenohumeral joint remain a difficult challenge. Although cuff tear arthropathy (CTA) has been recognized for more than 150 years, a treatment strategy with uniformly satisfactory outcomes remains elusive, partly due to the diff...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2009-05, Vol.18 (3), p.484-494 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Feeley, Brian T., MD Gallo, Robert A., MD Craig, Edward V., MD |
| description | Summary Massive tears of the rotator cuff resulting in arthritis of the glenohumeral joint remain a difficult challenge. Although cuff tear arthropathy (CTA) has been recognized for more than 150 years, a treatment strategy with uniformly satisfactory outcomes remains elusive, partly due to the difficulty in defining CTA in the literature. Most studies combine true CTA, rheumatoid arthritis, and massive rotator cuff tears under the CTA diagnosis. Determining outcomes from these studies is difficult. Hemiarthroplasty and total shoulder arthroplasty have led to pain relief, but the high rate of glenoid component loosening after total shoulder arthroplasty is a concern, and active range of motion remains limited after hemiarthroplasty. There is increasing interest in the use of a constrained or reverese total shoulder arthroplasty to treat this complex process, with promising early results. This review article studies current trends in the diagnosis and management of arthritis due to massive cuff tears and CTA. Level of evidence Non-systematic review article. |
| doi_str_mv | 10.1016/j.jse.2008.11.003 |
| format | Article |
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Although cuff tear arthropathy (CTA) has been recognized for more than 150 years, a treatment strategy with uniformly satisfactory outcomes remains elusive, partly due to the difficulty in defining CTA in the literature. Most studies combine true CTA, rheumatoid arthritis, and massive rotator cuff tears under the CTA diagnosis. Determining outcomes from these studies is difficult. Hemiarthroplasty and total shoulder arthroplasty have led to pain relief, but the high rate of glenoid component loosening after total shoulder arthroplasty is a concern, and active range of motion remains limited after hemiarthroplasty. There is increasing interest in the use of a constrained or reverese total shoulder arthroplasty to treat this complex process, with promising early results. This review article studies current trends in the diagnosis and management of arthritis due to massive cuff tears and CTA. Level of evidence Non-systematic review article.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2008.11.003</identifier><identifier>PMID: 19208484</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Arthritis - diagnosis ; Arthritis - etiology ; Arthritis - surgery ; arthropathy ; Arthroplasty, Replacement - methods ; Arthroscopy - methods ; Biological and medical sciences ; cuff-tear arthropathy ; Diagnostic Imaging - methods ; Diseases of the osteoarticular system ; Female ; Forecasting ; hemiarthroplasty ; Humans ; Injuries of the limb. Injuries of the spine ; Injury Severity Score ; Joint Prosthesis ; Male ; Medical sciences ; Miscellaneous. Osteoarticular involvement in other diseases ; Orthopedics ; Pain Measurement ; Prognosis ; Prosthesis Design ; Prosthesis Failure ; Radiography ; Range of Motion, Articular - physiology ; Recovery of Function ; Reoperation ; reverse total shoulder arthroplasty ; Risk Assessment ; Rotator cuff ; Rotator Cuff - surgery ; Rotator Cuff Injuries ; Shoulder Joint - diagnostic imaging ; Shoulder Joint - physiopathology ; Shoulder Joint - surgery ; Tendon Injuries - complications ; Tendon Injuries - diagnosis ; Tendon Injuries - surgery ; tendon tears ; total shoulder arthroplasty ; Traumas. 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Although cuff tear arthropathy (CTA) has been recognized for more than 150 years, a treatment strategy with uniformly satisfactory outcomes remains elusive, partly due to the difficulty in defining CTA in the literature. Most studies combine true CTA, rheumatoid arthritis, and massive rotator cuff tears under the CTA diagnosis. Determining outcomes from these studies is difficult. Hemiarthroplasty and total shoulder arthroplasty have led to pain relief, but the high rate of glenoid component loosening after total shoulder arthroplasty is a concern, and active range of motion remains limited after hemiarthroplasty. There is increasing interest in the use of a constrained or reverese total shoulder arthroplasty to treat this complex process, with promising early results. This review article studies current trends in the diagnosis and management of arthritis due to massive cuff tears and CTA. Level of evidence Non-systematic review article.</description><subject>Arthritis - diagnosis</subject><subject>Arthritis - etiology</subject><subject>Arthritis - surgery</subject><subject>arthropathy</subject><subject>Arthroplasty, Replacement - methods</subject><subject>Arthroscopy - methods</subject><subject>Biological and medical sciences</subject><subject>cuff-tear arthropathy</subject><subject>Diagnostic Imaging - methods</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Forecasting</subject><subject>hemiarthroplasty</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Injury Severity Score</subject><subject>Joint Prosthesis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Orthopedics</subject><subject>Pain Measurement</subject><subject>Prognosis</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recovery of Function</subject><subject>Reoperation</subject><subject>reverse total shoulder arthroplasty</subject><subject>Risk Assessment</subject><subject>Rotator cuff</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Shoulder Joint - physiopathology</subject><subject>Shoulder Joint - surgery</subject><subject>Tendon Injuries - complications</subject><subject>Tendon Injuries - diagnosis</subject><subject>Tendon Injuries - surgery</subject><subject>tendon tears</subject><subject>total shoulder arthroplasty</subject><subject>Traumas. Diseases due to physical agents</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi1ERUvhB3BBvsAtYex82AEJCa34qir1UDhbjj3eOiTOYidI--9xtCuQOHDx-PC8M_YzhLxgUDJg7ZuhHBKWHECWjJUA1SNyxZqKF20D8DjfoZEFF3V7SZ6mNABAVwN_Qi5Zx0HWsr4iN7vVObqgjlTH5SHOB708HN_S3RojhoUu-bSJ-kCt1_swJ5-oDpamNe690SOddNB7nDL7jFw4PSZ8fq7X5Punj992X4rbu89fdx9uC9MAXwrkyKFyBoTFHl3vmsZKpg0XYBl2NUcptG77HnjTSttqKUTFeltL4-pettU1eX3qe4jzzxXToiafDI6jDjivSbWCCWDVBrITaOKcUkSnDtFPOh4VA7UJVIPKAtUmUDGmssCceXluvvYT2r-Js7EMvDoDOuX_u6iD8ekPx1ldcSG24e9OHGYVvzxGlYzHYND6iGZRdvb_fcb7f9Jm9GET_gOPmIZ5jSE7VkwlrkDdb5veFg0SoG26rvoNQn6jEA</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Feeley, Brian T., MD</creator><creator>Gallo, Robert A., MD</creator><creator>Craig, Edward V., MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>Cuff tear arthropathy: Current trends in diagnosis and surgical management</title><author>Feeley, Brian T., MD ; Gallo, Robert A., MD ; Craig, Edward V., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-e2e203fc07debefbf55d81ac270d1e942e87aa6bb02568d6a87731bd48cf4b863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Arthritis - diagnosis</topic><topic>Arthritis - etiology</topic><topic>Arthritis - surgery</topic><topic>arthropathy</topic><topic>Arthroplasty, Replacement - methods</topic><topic>Arthroscopy - methods</topic><topic>Biological and medical sciences</topic><topic>cuff-tear arthropathy</topic><topic>Diagnostic Imaging - methods</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Forecasting</topic><topic>hemiarthroplasty</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Injury Severity Score</topic><topic>Joint Prosthesis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Orthopedics</topic><topic>Pain Measurement</topic><topic>Prognosis</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recovery of Function</topic><topic>Reoperation</topic><topic>reverse total shoulder arthroplasty</topic><topic>Risk Assessment</topic><topic>Rotator cuff</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Shoulder Joint - physiopathology</topic><topic>Shoulder Joint - surgery</topic><topic>Tendon Injuries - complications</topic><topic>Tendon Injuries - diagnosis</topic><topic>Tendon Injuries - surgery</topic><topic>tendon tears</topic><topic>total shoulder arthroplasty</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Feeley, Brian T., MD</creatorcontrib><creatorcontrib>Gallo, Robert A., MD</creatorcontrib><creatorcontrib>Craig, Edward V., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Feeley, Brian T., MD</au><au>Gallo, Robert A., MD</au><au>Craig, Edward V., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cuff tear arthropathy: Current trends in diagnosis and surgical management</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>18</volume><issue>3</issue><spage>484</spage><epage>494</epage><pages>484-494</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Summary Massive tears of the rotator cuff resulting in arthritis of the glenohumeral joint remain a difficult challenge. Although cuff tear arthropathy (CTA) has been recognized for more than 150 years, a treatment strategy with uniformly satisfactory outcomes remains elusive, partly due to the difficulty in defining CTA in the literature. Most studies combine true CTA, rheumatoid arthritis, and massive rotator cuff tears under the CTA diagnosis. Determining outcomes from these studies is difficult. Hemiarthroplasty and total shoulder arthroplasty have led to pain relief, but the high rate of glenoid component loosening after total shoulder arthroplasty is a concern, and active range of motion remains limited after hemiarthroplasty. There is increasing interest in the use of a constrained or reverese total shoulder arthroplasty to treat this complex process, with promising early results. This review article studies current trends in the diagnosis and management of arthritis due to massive cuff tears and CTA. Level of evidence Non-systematic review article.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>19208484</pmid><doi>10.1016/j.jse.2008.11.003</doi><tpages>11</tpages></addata></record> |
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| subjects | Arthritis - diagnosis Arthritis - etiology Arthritis - surgery arthropathy Arthroplasty, Replacement - methods Arthroscopy - methods Biological and medical sciences cuff-tear arthropathy Diagnostic Imaging - methods Diseases of the osteoarticular system Female Forecasting hemiarthroplasty Humans Injuries of the limb. Injuries of the spine Injury Severity Score Joint Prosthesis Male Medical sciences Miscellaneous. Osteoarticular involvement in other diseases Orthopedics Pain Measurement Prognosis Prosthesis Design Prosthesis Failure Radiography Range of Motion, Articular - physiology Recovery of Function Reoperation reverse total shoulder arthroplasty Risk Assessment Rotator cuff Rotator Cuff - surgery Rotator Cuff Injuries Shoulder Joint - diagnostic imaging Shoulder Joint - physiopathology Shoulder Joint - surgery Tendon Injuries - complications Tendon Injuries - diagnosis Tendon Injuries - surgery tendon tears total shoulder arthroplasty Traumas. Diseases due to physical agents |
| title | Cuff tear arthropathy: Current trends in diagnosis and surgical management |
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