A young patient is diagnosed to have irreparable tear of the rotator cuff. Treatment of choice will be:
(A) Tendon transfer (B) Total shoulder replacement (C) Reverse c shoulder replacement (D) Acromioplasty
(A) Ans: A. Tendon transfer(Ref Apley 9/e p347,348)Treatment of choice for irreparable tear of rotator cuff in young patient = Tendon transfer.Subacromial decompression and debridement of degenerate cuff tissue:Useful for irreparable massive full thickness tears.Pain relief allows reasonable shoulder abduction by remaining muscles.Other methods:Supraspinatus advancement.Latissimus dorsi transfer.Rotator cuff transposition.Fascia Iota autogruit.Synthetic tendon graft.