Patients with massive, irreparable tears in the rotator cuff have varying degrees of ability to raise their arm.
Many of them are quite functional The following are active Forward elevation
Other people suffer from pseudoparalysis. In this condition, the arm is only able to be moved in one direction. Passively The other arm can be used to help elevate the body.
But the arm cannot be The patient can raise themselves above horizontal without any assistance.
The reverse total shoulder replacement is an option for patients who have massive irreparable tears of the rotator cuff and pseudoparalysis, as shown in the above video.
If the shoulder joint is already arthritic and the patient does not have pseudoparalysis, they may opt for a simpler, cheaper and safer procedure, such as the smooth and move.
A question that arises due to the clinical significance of pseudoparalysis is “Are many patients just on the edge of being able lift their shoulders above horizontal?”Is there a significant percentage of patients who have massive irreparable cuff tear that are “almost paralytic” or just barely pseudoparalytic?