Partial thickness rotator cuff tears: Results of arthroscopic treatment

Snyder, Stephen J.; Pachelli, Anthony; Pizzo, Wilson Del; Friedman, Marc J.; Ferkel, Richard D.; Pattee, Gary A.

doi:10.1016/0749-8063(91)90070-e

Cited by 289 publications

(153 citation statements)

References 20 publications

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“…Die Partialrupturen werden nach Ellman [3] in artikulä rseitige (Typ A), bursaseitige (Typ B) und intratendinö se (Typ C) Rupturen mit einer Gradierung von I -III in Abhä ngigkeit vom Durchmesser unterteilt. Fü r die arthroskopische Beurteilung hat sich die Einteilung nach Snyder [14] durchgesetzt, wobei Kriterien verwendet werden, die sich aus der arthroskopischen Morphologie ergeben. Weiterhin spricht ein langsamer Beginn der Beschwerden, der inaktive Patient, eine degenerative Genese und nicht zuletzt die Non-Compliance [8] fü r ein konservatives Vorgehen.…”

Section: And Die Kompletten Rupturen Werden Nach Bateman Eingeteilt [2]unclassified

Verletzungen der Rotatorenmanschette, operative versus funktionell-konservative Versorgung

Hepp¹,

Lill²,

Josten³

2002

OP-Journal

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Section: And Die Kompletten Rupturen Werden Nach Bateman Eingeteilt [2]unclassified

Verletzungen der Rotatorenmanschette, operative versus funktionell-konservative Versorgung

Hepp¹,

Lill²,

Josten³

2002

OP-Journal

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“…Partial-thickness rotator cuff tears are a cause of pain and loss of function in the concerned patients [1]. In overhead sports and especially throwing athletes they produce diminution of the performance and incapacity to play [2].…”

Section: Introductionmentioning

confidence: 99%

“…Arthroscopic debridement with or without subacromial decompression [1] of articular surface partial lesions often did not produce satisfying and stable results over time [5]. Increasingly, the need for direct repair was recognized in the literature, because of a high probability of progression into complete tears of up to 35% after debridement alone [5].…”

Section: Introductionmentioning

confidence: 99%

“…We therefore intentionally base our considerations on two different arthroscopic classification systems. First we use a modification of Snyder's classification [1] to grade the antero-posterior extent (width) of the lesion: Grade 1 for tears of less than 1 cm, grade 2 for tears of 1 -2 cm, grade 3 of 2 -3 cm and grade 4 for extended, complex tears larger than 4cm. To describe the medio-lateral extension (depth) of the tear we secondly use the well established Ellman classification with a grade I for tears of 3 mm, grade II for tears of 3 -6 mm and grade III for tears deeper than 6 mm equivalent to more than half of the tendon thickness.…”

Section: Introductionmentioning

confidence: 99%

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Double Band Double-Pulley Repair for Articular Surface Partial Tears of the Supraspinatus in Throwing Athletes: Improving the Transtendon Technique

Martínez¹,

Buess²,

Hernandez³

2012

OJO

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Disabled shoulders of throwing athletes typically present with extended undersurface partial tears of the rotator cuff, which include the posterior supraspinatus and the anterior infraspinatus tendon to a variable extent. We propose a modified transtendon repair technique to adequately treat this subset of patients. The repair includes two double-loaded anchors, at the anterior and the posterior end of the tear, respectively. With the help of an angulated penetrator we create a medial and a lateral band of sutures on top of the cuff, producing a broad contact in the tendon-to-bone interface. All the 9 so far operated patients were young men, 7 of them base-ball pitchers, and 5 active in competitive sports. The Constant Score rose from 72 points preoperatively to 99 points at 12 months follow-up. Three of the still active pitchers were able to return to their previous level in sports after one year. The improved footprint contact of our novel repair construct should allow for better healing and, therefore, a higher chance of return to competition.

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“…However, larger Grade 3 tears treated with débridement have resulted in poorer clinical outcomes when compared to repair, and the literature suggests Grades 3A, 2B, and 3B partial-thickness RCTs are better treated with repair as opposed to débridement [3,18,26]. This has prompted many surgeons to repair these larger partial tears with various techniques, including completion of the partial tear and repairing a full-thickness defect and various in situ techniques [1,10,11,16,22,24].…”

Section: Introductionmentioning

confidence: 99%

Partial-thickness Articular Surface Rotator Cuff Tears: An All-inside Repair Technique

Spencer

2010

Clinical Orthopaedics &Amp; Related Research

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Background Treatment of partial-thickness articular surface rotator cuff tears varies from simple débridement with or without an acromioplasty to various repair techniques. These repair techniques have included in situ transtendinous methods, as well as completion of the tear and repairing the full-thickness defect. The transtendinous techniques can be associated with stiffness and completing the tear takes down normal intact tissue. Therefore, a technique was developed that repairs the articular-side partial-thickness rotator cuff tears with an all-inside approach that does not violate the intact bursal tissue and does not complete the tear. Questions/purposes To compare the preoperative and postoperative Penn shoulder scores (PSS) associated with an in situ all-inside repair technique and the effects of such a repair on postoperative stiffness. Methods Twenty patients with partial-thickness articular rotator cuff tears greater than 50% of the width of the tendon repaired with an all-inside repair technique were retrospectively reviewed. Two of the patients were high school athletes and the rest self-described as recreational athletes. The minimum followup was 16 months (average, 29 months; range, 16-41 months). A validated outcome measure (PSS) was used to assess clinical outcome, and postoperative ROM was measured. Results The average PSS score improved from 74 (range, 56-84) to 92 (range, 86-99).

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Partial thickness rotator cuff tears: Results of arthroscopic treatment

Cited by 289 publications

References 20 publications

Verletzungen der Rotatorenmanschette, operative versus funktionell-konservative Versorgung

Verletzungen der Rotatorenmanschette, operative versus funktionell-konservative Versorgung

Double Band Double-Pulley Repair for Articular Surface Partial Tears of the Supraspinatus in Throwing Athletes: Improving the Transtendon Technique

Partial-thickness Articular Surface Rotator Cuff Tears: An All-inside Repair Technique

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