Does an Arthroscopic Suture Bridge Technique Maintain Repair Integrity?: A Serial Evaluation by Ultrasonography

Abstract

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Retear Rates After Arthroscopic Single-Row, Double-Row, and Suture Bridge Rotator Cuff Repair at a Minimum of 1 Year of Imaging Follow-up: A Systematic Review

“…1 Although the clinical impact of rotator cuff retears remains a point of controversy in the literature, [2][3][4][5] several studies have shown that retears affect functional recovery. [6][7][8][9] Several patient-related risk factors associated with retear have been identified. These include age, [10][11][12][13] preoperative tear size, 7,14-16 muscle atrophy, 14,17 and other factors.…”

Minimal Medial-row Tie with Suture-bridge Technique for Medium to Large Rotator Cuff Tears

“…Serial evaluation with ultrasonography might be a good alternative. 20) One recent study reported that all retears occurred prior to 6 months after surgery in serial ultrasound follow-up up to 24 months, with a 41% retear rate. 9) Another author also reported a high frequency of retear within the first 6 months (75.0% [6 of 8]), justifying the evaluation at 6 months.…”

“…18) Recent suture bridge technique had generally reduced the retear rate compared with more conventional technique. 4,6,8,9,19,20) Many authors reported the retear rate from 8%…”

“…4,6,8,9,[19][20][21][22] Most techniques utilized 2 to 4 medial knot-tying in the medial row and obtained an approximately 20% retear rate, which is still high. [23][24][25] In the current series of 79 patients, only 6.3% of patients experienced retear on 6.2-month follow-up MRI.…”

Clinical features of partial anterior bursal-sided supraspinatus tendon (PABST) lesions

“…22 Some authors have reported that arthroscopic repairs of full-thickness rotator cuff tears (FTRCTs) are associated with improved functional scores and a 71% to 91% healing rate. 3,16,26,28 A number of reports specifically focus on partial-thickness rotator cuff tears (PTRCTs), 4,7,10,14,29,33,36,40 which can be classified as bursal, articular, or intratendinous based on their location. The partial articular-side supraspinatus tendon avulsion (PASTA) lesion 32 is a well-known articular-side PTRCT, and a new arthroscopic transtendon cuff repair technique was developed to treat PASTA lesions in relatively young and active patients whose lesions had not converted to full-thickness cuff tears.…”