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

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The Evaluation and Treatment of Rotator Cuff Pathology

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Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Failed Repair of the Rotator Cuff. Evaluation and Treatment of Complications*† by EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am Volume 79(5): May 1, 1997 ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-A and 1-B: Postoperative fractures of the acromion (arrows). EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A and 2-B: Postoperative detachment of the deltoid. EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2-B: weighted magnetic resonance image demonstrating detachment and retraction of the origin of the deltoid (arrow). EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-A: Photograph showing insufficiency of the coracoacromial arch. EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-B: Photograph showing attempted elevation of the shoulder resulting in superior migration of the humeral head. EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-A and 4-B: Postoperative radiographs showing heterotopic ossification. EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-B: Zanca (acromioclavicular joint) radiograph demonstrating heterotopic bone formation in the space created by resection of the lateral portion of the clavicle. EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5: T2-weighted magnetic resonance image, made in the coronal plane, of a recurrent defect of the rotator cuff. EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Figs. 6-A and 6-B: Photographs of a patient who had an excellent result two years after débridement of a massive tear of the rotator cuff. EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.

Fig. 6-B: There is marked atrophy of the infraspinatus (arrow). EVAN H. KARAS, and JOSEPH P. IANNOTTI J Bone Joint Surg Am 1997;79: ©1997 by The Journal of Bone and Joint Surgery, Inc.