Nonarthroplasty surgical management of massive irreparable posterosuperior rotator cuff tears: A systematic review and meta-analysis.

ABSTRACT:

Introduction

Massive irreparable posterosuperior rotator cuff tears (MRCTs) pose clinical and surgical challenges due to tendon retraction, fatty infiltration, muscle atrophy, and poor tissue quality. Nonarthroplasty options have emerged as alternatives to shoulder arthroplasty.

Methods

We conducted a systematic review and meta-analysis of comparative studies evaluating nonarthroplasty surgical treatments for MRCTs. We searched PubMed, LILACS, Scopus, and Google Scholar, including studies with at least 12 months of follow up. Functional outcomes, range of motion, and complication rates were extracted. Risk of bias was assessed using ROBINS-I.

Results

Twenty-one studies (n = 1036 patients) were included, evaluating partial repair, tendon transfers, superior capsular re

SUBMITTER: Serrano-Sanchez RF 

PROVIDER: S-EPMC12350316 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature