All-Inside Arthroscopic Partial Articular-Sided Supraspinatus Tendon Avulsion (PASTA) Repair Without Bunching of the Bursal Side of the Tendon

Itthipanichpong, Thun; Thamrongskulsiri, Napatpong; Limskul, Danaithep; Tanpowpong, Thanathep

doi:10.1016/j.eats.2022.02.013

Cited by 6 publications

(6 citation statements)

References 20 publications

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“… 12 If the repair is chosen in a partial articular-sided subscapularis tendon tear, there is concern of overtension or bunching of the bursal-sided tendon, as in the PASTA transtendon repair, because the tendon fiber on the bursal side remains intact and connected to the lesser tuberosity. 5 Because the authors are worried that this would affect shoulder kinematics, we propose a surgical technique to repair the partial articular-sided subscapularis tendon tear without overtension or bunching of the bursal-sided tendon in which we sew only the articular-sided tendon fiber.…”

Section: Discussionmentioning

confidence: 99%

“…Similar to the transtendon repair of the PASTA (partial articular supraspinatus tendon avulsion), the transtendon repair of a partial articular-sided subscapularis tendon tear can produce overtension and bunching of the bursal-sided subscapularis tendon. 5 We propose an all-inside arthroscopic transtendon repair technique for a high-grade partial articular-sided subscapularis tendon tear without bursal-sided tendon overtension or bunching.…”

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confidence: 99%

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Arthroscopic Repair of a High-Grade Partial Articular-Sided Subscapularis Tendon Tear Without Bursal-Sided Tendon Overtension

Thamrongskulsiri¹,

Kuptniratsaikul²

2023

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Arthroscopic Repair of a High-Grade Partial Articular-Sided Subscapularis Tendon Tear Without Bursal-Sided Tendon Overtension

Thamrongskulsiri¹,

Kuptniratsaikul²

2023

Arthroscopy Techniques

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“…Surgical techniques for PASTA lesions are still being debated [7, 16, 26, 33, 34, 47]. Previous studies have shown that the TTR and TCR techniques for arthroscopic PASTA repair have good clinical outcomes [1, 5, 6, 21, 30, 41, 43].…”

Section: Discussionmentioning

confidence: 99%

Similar outcomes between transtendon repair and tear completion repair techniques for partial articular‐sided supraspinatus tendon avulsion lesions: a systematic review and meta‐analysis

Thamrongskulsiri

Limskul

Itthipanichpong

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose This study aimed to review studies comparing transtendon repair (TTR) with tear completion repair (TCR) techniques for partial articular-sided supraspinatus tendon avulsion (PASTA) lesions according to postoperative patient-reported outcomes and complications. Methods Databases, including PubMed, Embase, Scopus, and Cochrane, were searched for studies published between 2008 and 2022 that directly compared the postoperative patient-reported outcomes and complications of the TTR and TCR techniques for PASTA lesions. Odds ratios (ORs) were calculated for dichotomous outcomes, while mean diferences (MDs) were calculated for continuous outcomes. Results A total of seven studies (497 shoulders) were analysed. No statistically signiicant diferences in the postoperative clinical outcomes at the inal follow-up were observed between the TTR and TCR techniques for PASTA lesions. The overall retear rates of the TTR and TCR techniques were 7.7% and 11.6%, respectively (corresponding healing rates were 92.3% and 88.4%), whereas the overall occurrence rates of adhesive capsulitis were 4.7% and 3.3%, respectively. Furthermore, no signiicant diference was observed in postoperative range of motion (forward lexion, MD = − 1.22, 95% conidence interval (95%CI) − 5.28 to 3.34, n.s.; external rotation, MD = − 1.39, 95% CI − 3.19 to 0.42, n.s.), overall retear rate (OR 0.72, 95% CI 0.29-1.08, n.s.), and occurrence rate of adhesive capsulitis (OR 1.11, n.s.) between the two techniques. Conclusion Both techniques improve clinical outcomes while having a low complication rate and a high rate of healing. No signiicant diference in clinical outcomes was observed between the two techniques. Level of evidence III.

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“…There are several techniques employed for repairing PASTA, most of them focusing on variations of debridement and anchor fixation 8–12 . However, the biceps tendon‐supraspinatus complex biomechanical relationship may influence the tear characteristics, especially in young and active patients with borderline sized lesions, that make choosing between repair or debridement with or without long head of the biceps tendon (LHBT) tenodesis not as straight‐forward, and currently there is little data on this matter 13–15 .…”

Section: Introductionmentioning

confidence: 99%

“…3 There are several techniques employed for repairing PASTA, most of them focusing on variations of debridement and anchor fixation. [8][9][10][11][12] However, the biceps tendonsupraspinatus complex biomechanical relationship may influence the tear characteristics, especially in young and active patients with borderline sized lesions, that make choosing between repair or debridement with or without long head of the biceps tendon (LHBT) tenodesis not as straight-forward, and currently there is little data on this matter. [13][14][15] Reports on medial rotator-cuff failure following repair of PASTA lesions, especially after transtendon repair, have noted that although clinical outcomes seem to improve following repair, there is still a high incidence of failure and progression towards full-thickness rotator-cuff defects.…”

Section: Introductionmentioning

confidence: 99%

Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon

Avram,

Neculau,

Obada

et al. 2023

Orthopaedic Surgery

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BackgroundThere is no clear consensus on the treatment of partial articular‐sided supraspinatus tendon avulsions. Debridement alone might not be sufficient to prevent further tendon degradation or alleviate patient complaints. Direct repair using a suture anchor without treating the concomitant conditions of the long head of the biceps tendon might come with residual anterior shoulder pain or even further loss of function in cases of failed repair. The purpose of the present study is to describe an arthroscopic technique by which the long head of the biceps tendon can be included in the partial articular‐sided supraspinatus tendon avulsion repair.Technique Presentation with videoIn this technical note we describe the arthroscopic repair and augmentation with tenotomized biceps of partial supraspinatus tendon tears to address three main concepts for successful rotator cuff repairs, namely rotator cuff biologic augmentation, tendon to bone healing and postoperative pain prevention.ConclusionThe biceps tendon is a mechanically robust, locally available autograft that can be used in borderline partial articular‐sided supraspinatus tendon avulsions in order to biologically augment healing at the tendon‐bone interface without any immunogenic reactions or morbidity following harvesting.

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All-Inside Arthroscopic Partial Articular-Sided Supraspinatus Tendon Avulsion (PASTA) Repair Without Bunching of the Bursal Side of the Tendon

Cited by 6 publications

References 20 publications

Arthroscopic Repair of a High-Grade Partial Articular-Sided Subscapularis Tendon Tear Without Bursal-Sided Tendon Overtension

Arthroscopic Repair of a High-Grade Partial Articular-Sided Subscapularis Tendon Tear Without Bursal-Sided Tendon Overtension

Similar outcomes between transtendon repair and tear completion repair techniques for partial articular‐sided supraspinatus tendon avulsion lesions: a systematic review and meta‐analysis

Partial Articular Supraspinatus Tendon Avulsion Repair and Patch: A Technical Note for Augmenting the Supraspinatus Reinsertion with the Long Head of the Biceps Tendon

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