Arthroscopic treatment for intratendinous rotator cuff tear results in satisfactory clinical outcomes and structural integrity

Cheon, Sang Jin; Lee, Hyo Yeol; Jeon, Woong Ki

doi:10.1007/s00167-018-4931-5

Cited by 3 publications

(5 citation statements)

References 28 publications

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“…Recent case series of arthroscopic partial-thickness repairs demonstrate improvements in pain VAS from 6.4 to 1.6 and forward flexion improvements from approximately 120-137 to 168-176. 52,53 This patient population parallels that seen in Seven et al, as patients had similar pathologies, baseline pain, and range of motion restrictions. In a comparison between the results of the Seven et al study and arthroscopic repair, it appears that patients, with partial-thickness rotator cuff tendinopathy who present with limitations of ROM and pain may benefit from dextrose prolotherapy similar to arthroscopic repair.…”

Section: Discussionsupporting

confidence: 70%

“…Recent studies of dextrose prolotherapy with stricter inclusion criteria of only those with partial‐thickness tears have outcomes similar to outcomes after arthroscopic partial‐thickness repairs. Recent case series of arthroscopic partial‐thickness repairs demonstrate improvements in pain VAS from 6.4 to 1.6 and forward flexion improvements from approximately 120‐137 to 168‐176 . This patient population parallels that seen in Seven et al, as patients had similar pathologies, baseline pain, and range of motion restrictions.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Dextrose Prolotherapy for Rotator Cuff Tendinopathy: A Systematic Review

Catapano

Zhang

Mittal

et al. 2019

PM&R

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Objective To systematically review and evaluate the efficacy and complication profile of prolotherapy using hyperosmolar dextrose solution injection for rotator cuff tendinopathy. Literature Survey MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials (from inception to 1 July, 2019). Methodology A comprehensive search was completed to identify randomized controlled trials addressing prolotherapy using hyperosmolar dextrose solution for rotator cuff tendinopathy. Two reviewers independently screened the titles, abstracts, and full texts, and then extracted data from eligible studies. All reported outcome measures and complications were analyzed descriptively. Synthesis Five studies satisfied inclusion criteria. Included studies analyzed a total of 272 participants with a final follow‐up ranging from 6 weeks to 12 months. Prolotherapy differed greatly among studies. Two studies used a multisite enthesis injection protocol while the other three used ultrasound‐guided protocols. Two of the studies used an intrasubstance supraspinatus injection and three used a supraspinatus enthesis injection. Control groups consisted of nonoperative rehabilitation including physical therapy and medical management in three studies, supraspinatus saline enthesis injection in one study, and corticosteroid injection in one study. There was statistically significant improvement in pain intensity with multisite injection protocols compared to physical therapy and medical management in both studies. Ultrasound‐guided supraspinatus injection trials did not find any statistically significant difference in pain intensity, range of motion, strength, function, or ultrasound characteristics compared to controls of enthesis saline injection or corticosteroid. The complication rate was low, with only 6/272 participants experiencing adverse events consisting of transient increase in pain for 1 to 2 days postintervention. Conclusions Prolotherapy with hyperosmolar dextrose solution is a potentially effective adjuvant intervention to physical therapy for patients with rotator cuff tendinopathy ranging from tendinosis to partial‐thickness and small full‐thickness tears. Further studies are necessary to determine effects in subpopulations as well as optimal technique including dextrose concentration, volume, and location.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Effectiveness of Dextrose Prolotherapy for Rotator Cuff Tendinopathy: A Systematic Review

Catapano

Zhang

Mittal

et al. 2019

PM&R

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“…힘줄 내 파열은 흔히 점액낭 측 또는 관절면 측 파열과 잘 동반되고, 힘줄 내 파열 단독으로만 발견되는 경우는 드문데, 이런 파열이 생기게 되면 지속적으로 어깨 통증이 있을 수 있다( 47 ). 최근 임상 연구에 따르면, 힘줄 두께의 50% 이상을 차지하는 힘줄 내 파열에 대해 관절경적 봉합술을 시행하면 좋은 임상적 결과를 보인다고 한다( 47 51 ). 자기공명영상에서 힘줄 내 파열은 힘줄 내에 고신호강도가 국소적으로 위치하는 것으로 발견할 수 있다( Fig.…”

Section: Classification Of a Partial-thickness Tear Of The Rotator Cuffunclassified

“…13 ) ( 49 ). 수술 전 자기공명영상에서 힘줄 내 파열을 언급하는 것은 관절경적 지표인 “bubble sign”을 수행하는 데 도움이 된다( 51 ). 관절경적으로 힘줄 내 파열을 진단하기 위한 “bubble sign”은 Lo 등( 52 )이 제안하였는데, 이는 힘줄 내 파열이 의심되는 위치에 소량의 식염수를 주입했을 때 회전근개가 불룩하게 확장되는 것으로 힘줄 내 파열을 찾을 수 있다는 것이다.…”

Section: Classification Of a Partial-thickness Tear Of The Rotator Cuffunclassified

Partial-Thickness Tear of Supraspinatus and Infraspinatus Tendon Revisited: Based on MR Findings

Song

Lee

Kim

2021

J Korean Soc Radiol

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회전근개 부분 파열의 자기공명영상 해석은 종종 애매한 경우가 있다. 이 종설에서는 회전근개 중 극상건과 극하건에 초점을 맞춰, 회전근개 부분 파열의 진단을 위한 해부학적 고려 사항을 설명하고, 회전근개 부분 파열의 분류를 요약하며, 박리(delamination)가 포함된 회전근개 부분 파열의 최신 개념을 개략적으로 설명하였다.

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“…The UCLA shoulder rating scale [ 4 ] was used, and the total score was 35, with 10 for function and 10 for pain. The total score was 5 for active forward flexion, active forward mobility, and patient satisfaction, respectively.…”

Section: Clinical Datamentioning

confidence: 99%

Outcomes of Visualized Puncture Needle and Small Needle-Knife Therapy in Primary Frozen Shoulder Based on Multimodal Ultrasound Imaging

Qin

Zhang

Yan

et al. 2022

Journal of Healthcare Engineering

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Objective. To compare the outcomes of visualized puncture needle and small needle-knife therapy in 68 patients with primary frozen shoulder. Method. Sixty-eight patients with primary frozen shoulder were recruited and randomly divided into two groups, with 34 patients in each group. In the treatment group, an ultrasound-guided 18G-PTC puncture needle was inserted into the joint space, followed by a liquid injection until complete lysis and dissociation of the intraarticular adhesion were achieved. Then, the lesser tuberosity of the coracoid and humerus, the intertubercular groove of the humerus, and the greater tuberosity of the humerus were stripped, first vertically and then horizontally, by an amplitude ≦ 0.5 cm per treatment. This treatment procedure was performed once per week, and each cycle covered three treatments. The small needle-knife therapy was set as a control, and the efficacy was observed. Result. The visualized puncture needle significantly outperformed the small needle-knife therapy in overall efficacy, UCLA scores of the shoulder joint, shoulder mobility, and muscle elasticity and thickness. Conclusion. The efficacy of the visualized puncture needle for primary frozen shoulder was better compared to the small needle-knife therapy. The former was safer and more convenient, which caused less pain to patients and took effect more quickly. In a word, the visualized puncture needle for primary frozen shoulder is worthy of clinical popularization.

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Arthroscopic treatment for intratendinous rotator cuff tear results in satisfactory clinical outcomes and structural integrity

Abstract: IV.

Cited by 3 publications

References 28 publications

Effectiveness of Dextrose Prolotherapy for Rotator Cuff Tendinopathy: A Systematic Review

Effectiveness of Dextrose Prolotherapy for Rotator Cuff Tendinopathy: A Systematic Review

Partial-Thickness Tear of Supraspinatus and Infraspinatus Tendon Revisited: Based on MR Findings

Outcomes of Visualized Puncture Needle and Small Needle-Knife Therapy in Primary Frozen Shoulder Based on Multimodal Ultrasound Imaging

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