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Partial-thickness articular surface rotator cuff tears: an all-inside repair technique. | LitMetric

Partial-thickness articular surface rotator cuff tears: an all-inside repair technique.

Clin Orthop Relat Res

Shoulder and Elbow Center, Knoxville Orthopaedic Clinic, 260 Fort Sanders West Blvd, Knoxville, TN 37922, USA.

Published: June 2010

AI Article Synopsis

  • The study explores a new all-inside repair technique for partial-thickness rotator cuff tears, which preserves intact tissue and avoids completing the tear, addressing issues seen in previous methods.
  • A retrospective review of 20 patients showed significant improvement in Penn shoulder scores (PSS) post-surgery, from an average of 74 to 92, with most patients returning to their previous activity levels.
  • The findings indicate that this in situ repair technique results in better clinical outcomes without major postoperative stiffness, positioning it as a beneficial option for treating these types of injuries.

Article Abstract

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). All but one patient was able to return to the same level of play or higher.

Conclusions: In situ repairs of partial-thickness articular surface tears using an all-inside approach resulted in a substantial increase in PSS with no cases of major postoperative clinical stiffness.

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

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2865624PMC
http://dx.doi.org/10.1007/s11999-009-1215-xDOI Listing

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