Indicaciones de artroplastia en lesiones del mango rotador

Massive rotator cuff injuries are increas- ingly frequent pathologies, which can cause severe shoulder dysfunction, developing arthropathy and/or pseudoparalysis of the shoulder. Nowadays there is confusion regarding the definition of pseudoparalysis, however, there is literature that helps us identify this problem more precisely, since it is crucial to carry a good treatment. It is clear to us based on the Goutallier and Patte classifications, which are the massive rotator cuff injuries that are not candidates for repair; which leaves us with shoulder arthroplasty as a viable alternative for the resolution of this pathology. There are reports where it is justified why total shoulder arthroplasty is not indicated in arthropathy and/or pseudoparalysis of the shoulder, and the use of CTA-type hemiprosthesis or the reverse prosthesis is proposed as the solution, however, we must take into account the age, clinic, activity level and the expectation of the del manejo de las lesiones irreparables del manguito rotador. Palabras clave: Lesión masiva del manguito rotador, artropatía hombro, patient to be treated. We do a brief review of the literature and share it with you in order to help the orthopedic surgeon make a bet- ter choice in the management of irreparable rotator cuff injuries.