A Multicenter Study of 210 Rotator Cuff Tears Treated by Arthroscopic Acromioplasty

Kempf, Jean-François; Gleyze, P.; Bonnomet, F.; Walch, Gilles; Molé, Daniel; Frank, André Günder; Beaufils, Philippe; Lévigne, Christophe; Rio, Bruno; Jaffe, André

doi:10.1053/ar.1999.v15.015005

Cited by 152 publications

(63 citation statements)

References 27 publications

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“…Intervention for stiffness (physiotherapy, arthroscopic release of contractures, and possible injection of hyaluronic acid analogues), roughness (arthroscopic debridement, tuberoplasty and acromioplasty) and other pain generators (subacromio-deltoid bursal injection therapy, synovectomy, acromioclavicular joint resection, LHBT tenoplasty, tenodesis and tenotomy) can all transform a decompensated shoulder into one that compensates very well for the RCT. [72][73][74][75] These interventions are often best performed arthroscopically, and constitute a 'conservative' approach of RCT surgery 76 . Arthroscopic decompression or selective imageguided blockade of the suprascapular nerve and lateral pectoral nerve can be useful adjuncts in gaining pain relief, and the former can be safely repeated using pulsed-radiofrequency treatment (with variable success rates).…”

Section: Treatment Specified By Patho-biomechanicsmentioning

confidence: 99%

Assessment and treatment strategies for rotator cuff tears

2014

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Tears of the rotator cuff are common and becoming an increasingly frequent problem. There is a vast amount of literature on the merits and limitations of the various methods of clinical and radiological assessment of rotator cuff tears. This is also the case with regard to treatment strategies. Certain popular beliefs and principles practiced widely and the basis upon which they are derived may be prone to inaccuracy. We provide an overview of the historical management of rotator cuff tears, as well as an explanation for how and why rotator cuff tears should be managed, and propose a structured methodology for their assessment and treatment.

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Section: Treatment Specified By Patho-biomechanicsmentioning

confidence: 99%

Assessment and treatment strategies for rotator cuff tears

2014

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“…In 1982, Neviaser et al (23) commented on the relationship between rotator cuff injuries and lesions of the LHB tendon, and other authors have shown an association between such injuries and instability of the LHB tendon (1,3,7,16,17,27,28) . In our study, among the 129 cases of rotator cuff injury that underwent operations, 62 (48%) presented abnormalities of the LHB tendon and, except for one case that presented complete tearing of this tendon, all of them underwent tenotomy.…”

Section: A B C Dmentioning

confidence: 99%

Reparação artroscópica de lesões pequenas e médias do tendão do músculo supraespinal: avaliação dos resultados clínico-funcionais após dois anos de seguimento

Ikemoto¹,

Murachovsky²,

Nascimento³

et al. 2012

Rev. bras. ortop.

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Objective: To evaluate the clinical and functional outcomes from arthroscopic repairs on small and medium-sized tears of the supraspinatus muscle tendon. Methods: 129 cases of isolated small and medium tears of the supraspinatus muscle tendon were evaluated retrospectively. The average duration of pain was 29 months. The average joint range of motion comprised active elevation of 136º, lateral rotation of 58º and medial rotation at T12 level; and the preoperative functional UCLA score averaged 17 points. In all the cases, complete repair could be achieved. Results: The average score on the UCLA functional scale in the postoperative period was 32 points. The average length of follow-up was 39 months. Seventy-five cases (58%) had excellent results and 42 (32%) had good results. The average final active elevation was 156º

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“…At mean 57 months follow up, functional outcome scores had significantly increased. While short term outcomes have been shown to be reasonable with arthroscopic debridement mainly due to relief from mechanical impingement pain rather than improved shoulder strength [98,99], long term outcomes have been mixed [99][100][101][102][103][104][105]. When performed, the integrity of the coracoacromial ligament must be preserved to prevent humeral head anterosuperior escape [106].…”

Section: Treatmentmentioning

confidence: 99%