Irreparable Rotator Cuff Tears: What to Do and When to Do It; the Surgeon's Dilemma by David M. Dines, Daniel P. Moynihan, Joshua S. Dines, and Peter McCann.

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Presentation transcript:

Irreparable Rotator Cuff Tears: What to Do and When to Do It; the Surgeon's Dilemma by David M. Dines, Daniel P. Moynihan, Joshua S. Dines, and Peter McCann J Bone Joint Surg Am Volume 88(10): October 1, 2006 ©2006 by The Journal of Bone and Joint Surgery, Inc.

Positive hornblower's sign. David M. Dines et al. J Bone Joint Surg Am 2006;88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2 T1-weighted magnetic resonance imaging scan demonstrating severe fatty deposition (arrow) and muscle atrophy in an irreparable rotator cuff tear. David M. Dines et al. J Bone Joint Surg Am 2006;88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3 Latissimus dorsi tendon transfer technique. David M. Dines et al. J Bone Joint Surg Am 2006;88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4 Subcoracoid pectoralis major transfer technique. David M. Dines et al. J Bone Joint Surg Am 2006;88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

A shoulder hemiarthroplasty with an extended-coverage head used to treat an irreparable rotator cuff tear and glenohumeral arthritis in a patient with a competent coracoacromial arch. David M. Dines et al. J Bone Joint Surg Am 2006;88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

David M. Dines et al. J Bone Joint Surg Am 2006;88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

David M. Dines et al. J Bone Joint Surg Am 2006;88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Treatment algorithm for patients with an irreparable rotator cuff tear. David M. Dines et al. J Bone Joint Surg Am 2006;88: ©2006 by The Journal of Bone and Joint Surgery, Inc.