Cuff tear arthropathy: Current trends in diagnosis and surgical management

Brian T. Feeley, Robert Gallo, Edward V. Craig

Research output: Contribution to journalReview article

60 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)484-494
Number of pages11
JournalJournal of Shoulder and Elbow Surgery
Volume18
Issue number3
DOIs
StatePublished - May 1 2009

Fingerprint

Arthroplasty
Hemiarthroplasty
Arthritis
Shoulder Joint
Articular Range of Motion
Tears
Rheumatoid Arthritis
Outcome Assessment (Health Care)
Rotator Cuff Tear Arthropathy
Pain
Rotator Cuff Injuries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

@article{b0f99883dd1c451c9245c9d1ab938fc1,
title = "Cuff tear arthropathy: Current trends in diagnosis and surgical management",
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.",
author = "Feeley, {Brian T.} and Robert Gallo and Craig, {Edward V.}",
year = "2009",
month = "5",
day = "1",
doi = "10.1016/j.jse.2008.11.003",
language = "English (US)",
volume = "18",
pages = "484--494",
journal = "Journal of Shoulder and Elbow Surgery",
issn = "1058-2746",
publisher = "Mosby Inc.",
number = "3",

}

Cuff tear arthropathy : Current trends in diagnosis and surgical management. / Feeley, Brian T.; Gallo, Robert; Craig, Edward V.

In: Journal of Shoulder and Elbow Surgery, Vol. 18, No. 3, 01.05.2009, p. 484-494.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Cuff tear arthropathy

T2 - Current trends in diagnosis and surgical management

AU - Feeley, Brian T.

AU - Gallo, Robert

AU - Craig, Edward V.

PY - 2009/5/1

Y1 - 2009/5/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=64849113466&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=64849113466&partnerID=8YFLogxK

U2 - 10.1016/j.jse.2008.11.003

DO - 10.1016/j.jse.2008.11.003

M3 - Review article

C2 - 19208484

AN - SCOPUS:64849113466

VL - 18

SP - 484

EP - 494

JO - Journal of Shoulder and Elbow Surgery

JF - Journal of Shoulder and Elbow Surgery

SN - 1058-2746

IS - 3

ER -