[Translated article] Midterm functional outcomes and tendon integrity after in situ repair of partial bursal supraspinatus tears without acromioplasty

Bruchmann, M.G.; Rossi, Luciano; Gorodischer, Tomás; Flor, J.A. Burgos; Atala, Nicolas A.; Tanoira, Ignacio; Bongiovanni, Santiago; Ranalletta, Maximiliano

doi:10.1016/j.recot.2021.12.002

Cited by 1 publication

(1 citation statement)

References 29 publications

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“…They concluded that acromioplasty did not prevent the progression of rotator cuff degeneration in either articular-sided or bursal-sided tears. Bruchmann et al and Ranalletta et al [39,40] reported that treatment of bursal-sided tears with repair alone, without acromioplasty, resulted in good outcomes. Koh et al [41] have recommended against the routine use of acromioplasty for bursal-sided tears and suggested that minimal acromioplasty should only be performed in patients with osteophytes.…”

Section: The Role Of Acromioplasty In Partial Tearsmentioning

confidence: 99%

The Role of Acromioplasty in Partial Rotator Cuff Tears

Oklaz

2024

BAU Health Innov

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T he acromioclavicular arch and the superior rotator cuff overlap anatomically and friction occurs between them during shoulder motions which the subacromial bursa tries to reduce. In some cases, this can be the main mechanism by which the supraspinatus tendon gets degenerated or injured. [1,2] Acromioplasty is a procedure that has been used for a long time for pathologies around the acromion, especially for subacromial impingement, and its frequency has increased over the years. [3,4] This method is generally used to decompress the subacromial space in patients with subacromial impingement but can also be used to provide secondary benefits in patients with rotator cuff pathology. [5][6][7] In cases of rotator cuff injury, acromioplasty can be performed either with the debridement of damaged tendon fragments for tears not large enough to require repair to prevent progression of the tear or be accompanied by cuff repair to prevent friction under the acromion and reduce the incidence of re-rupture. [8][9][10][11][12][13][14] On the other hand, some studies have indicated that acromioplasty has no preventive effect on tear progression and does not alter the re-tear incidence after cuff repair. [15][16][17][18][19] Therefore, the Partial rotator cuff tears are a common pathology of the shoulder joint and often present with different clinical presentations. This condition can present with a range of symptoms, from no symptoms at all to pain and loss of function that may impact daily activities. Although the term "partial tear" is commonly used, it is important to note that there are three different types of tears: Bursal surface tears, articular surface tears, and intratendinous tears. In the surgical treatment of partial tears, it is important to determine the type of tear and plan the operation accordingly. Rotator cuff repair or debridement can be performed as surgical treatment, and acromioplasty can be performed in addition to these methods. There are differing opinions in the literature about the role of acromioplasty in treating all three types of tears. While some studies suggest that including acromioplasty in cuff repair or debridement could improve clinical outcomes and decrease re-rupture rates, other studies argue that acromioplasty does not provide any benefits for partial tears. This article reviews the role of acromioplasty in the treatment of partial rotator cuff tears.

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Section: The Role Of Acromioplasty In Partial Tearsmentioning

confidence: 99%

The Role of Acromioplasty in Partial Rotator Cuff Tears

Oklaz

2024

BAU Health Innov

View full text Add to dashboard Cite

show abstract

[Translated article] Midterm functional outcomes and tendon integrity after in situ repair of partial bursal supraspinatus tears without acromioplasty

Cited by 1 publication

References 29 publications

The Role of Acromioplasty in Partial Rotator Cuff Tears

The Role of Acromioplasty in Partial Rotator Cuff Tears

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