Massive and Irreparable Rotator Cuff Tears: From Basic Science to Advanced Treatments (Paperback, 2020)

Part 1 Basic science.- Massive and irreparable rotator cuff tears: defining the problem.- Biology of rotator cuff injury and repair.- Biomechanics of rotator cuff repair.- Re-rupture or non-healing? Factors determining an unsuccessful repair.- Biological augmentation in rotator cuff repair: growth factors.- Biological augmentation in rotator cuff repair: cell therapies.- Biological augmentation in rotator cuff repair: scaffolds.- Imaging of repaired rotator cuff.- Part 2 Controversies in massive rotator cuff tears.- Clinical outcome vs structural integrity: what really matters?.- Fatty infiltration and muscle atrophy: what it means and what happens after repair.- Pseudoparalysis: Pathomechanics and clinical relevance.- Rotator cuff tear arthropathy: where are the limits for repair?.- Suprascapular nerve release: fact or fiction.- Traumatic cuff tears: the relevance of timing.- Critical shoulder angle: does lateral acromioplasty have a role in preventing re-rupture.- Shoulder injections: options, ultrasound assistance, evidences.- Non-operative Treatment: The Role of Rehabilitation.- Patient Expectation in the treatment of rotator cuff tears: what is it’s role?.- Treatment of massive irreparable cuff tears: decision-making process.- Part 3 Surgical techniques.- Partial repair.- Patch Graft Augmentation.- Superior capsule reconstruction.- Postero-superior Massive Irreparable Rotator Cuff Tears: The Biceps Autograft.- Tendon Transfer for Posterosuperior Cuff: Latissimus Dorsi Transfer.- Tendon Transfer for Posterosuperior Cuff.- Tendon Transfer for Posterosuperior Cuff: Latissimus Dorsi Transfer.- Tendon transfer for anterosuperior cuff: The Pectoralis Major Transfer.- Tendon transfer for anterosuperior cuff: Latissimus Dorsi Transfer.- Subacromial spacer.- Regional blocks and opioid sparing anesthesia: helping the surgeon and with patients’ satisfaction.- Part 4 Complex and revision problems.- Traumatic rotator cuff tears with shoulder stiffness.- Management of bone loss in rotator cuff tear arthropathy.- Work-up and management of infection in shoulder arthroplasty.- Biomechanics of failure of reverse shoulder arthroplasty in rotator cuff tear arthropathy.- Revision of reverse total shoulder arthroplasty: humeral component.- Failure of Rotator Cuff Repair.- Combined massive rotator cuff and recurrent shoulder instability.- “Reverse arthroplasty VS other options” - Cases examples.- Case example 4: Massive rotator cuff tear and patient specific rehabilitation in sportsmen.