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In situ repair of partial-thickness rotator cuff tears: a critical analysis review

After failed conservative management, operative intervention is typically indicated for patients with partial-thickness rotator cuff tears (PTRCTs) with persistent pain and disability symptoms. For PTRCTs involving < 50% of the tendon thickness, debridement with or without acromioplasty resulted...

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Autores principales: Rossi, Luciano A., Ranalletta, Maximiliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144888/
https://www.ncbi.nlm.nih.gov/pubmed/32296547
http://dx.doi.org/10.1302/2058-5241.5.190010
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author Rossi, Luciano A.
Ranalletta, Maximiliano
author_facet Rossi, Luciano A.
Ranalletta, Maximiliano
author_sort Rossi, Luciano A.
collection PubMed
description After failed conservative management, operative intervention is typically indicated for patients with partial-thickness rotator cuff tears (PTRCTs) with persistent pain and disability symptoms. For PTRCTs involving < 50% of the tendon thickness, debridement with or without acromioplasty resulted in favourable outcomes in most studies. For PTRCTs involving > 50% of the tendon thickness, in situ repair has proven to significantly improve pain and functional outcomes for articular and bursal PTRCTs. The few available comparative studies in the literature showed similar functional and structural outcomes between in situ repair and repair after conversion to full-thickness tear for PTRCTs. Most non-overhead athletes return to sports at the same level as previous to the injury after in situ repair of PTRCTs. However, rates of return to preinjury level of competition for overhead athletes have been generally poor regardless of the utilized technique. During long-term follow-up, arthroscopic in situ repair of articular and bursal PTRCTs produced excellent functional outcomes in most patients, with a low rate of revision. Cite this article: EFORT Open Rev 2020;5:138-144. DOI: 10.1302/2058-5241.5.190010
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spelling pubmed-71448882020-04-15 In situ repair of partial-thickness rotator cuff tears: a critical analysis review Rossi, Luciano A. Ranalletta, Maximiliano EFORT Open Rev Shoulder & Elbow After failed conservative management, operative intervention is typically indicated for patients with partial-thickness rotator cuff tears (PTRCTs) with persistent pain and disability symptoms. For PTRCTs involving < 50% of the tendon thickness, debridement with or without acromioplasty resulted in favourable outcomes in most studies. For PTRCTs involving > 50% of the tendon thickness, in situ repair has proven to significantly improve pain and functional outcomes for articular and bursal PTRCTs. The few available comparative studies in the literature showed similar functional and structural outcomes between in situ repair and repair after conversion to full-thickness tear for PTRCTs. Most non-overhead athletes return to sports at the same level as previous to the injury after in situ repair of PTRCTs. However, rates of return to preinjury level of competition for overhead athletes have been generally poor regardless of the utilized technique. During long-term follow-up, arthroscopic in situ repair of articular and bursal PTRCTs produced excellent functional outcomes in most patients, with a low rate of revision. Cite this article: EFORT Open Rev 2020;5:138-144. DOI: 10.1302/2058-5241.5.190010 British Editorial Society of Bone and Joint Surgery 2020-03-02 /pmc/articles/PMC7144888/ /pubmed/32296547 http://dx.doi.org/10.1302/2058-5241.5.190010 Text en © 2020 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Shoulder & Elbow
Rossi, Luciano A.
Ranalletta, Maximiliano
In situ repair of partial-thickness rotator cuff tears: a critical analysis review
title In situ repair of partial-thickness rotator cuff tears: a critical analysis review
title_full In situ repair of partial-thickness rotator cuff tears: a critical analysis review
title_fullStr In situ repair of partial-thickness rotator cuff tears: a critical analysis review
title_full_unstemmed In situ repair of partial-thickness rotator cuff tears: a critical analysis review
title_short In situ repair of partial-thickness rotator cuff tears: a critical analysis review
title_sort in situ repair of partial-thickness rotator cuff tears: a critical analysis review
topic Shoulder & Elbow
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144888/
https://www.ncbi.nlm.nih.gov/pubmed/32296547
http://dx.doi.org/10.1302/2058-5241.5.190010
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