Abstract
Successful treatment of partial-thickness rotator cuff tears is possible without completing the tear and requires the surgeon be facile in arthroscopic repair and willing to supervise postoperative rehabilitation to maximize healing and ensure adequate motion, function, and patient satisfaction. This case highlights steps to repair a partial-thickness rotator cuff tear of the shoulder to maximize healing so that pain can be diminished and function restored. Surgical aids of managing the sutures and placing them for the best repair are included as well as tips for postoperative rehabilitation and return to work and sports.
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McMahon PJ, Prasad A, Francis KA. What is the prevalence of senior-athlete rotator cuff injuries and are they associated with pain and dysfunction? Clin Orthop Relat Res. 2014;472(8):2427–32. doi:10.1007/s11999-014-3560-7. PMID: 24619795
Miller BS, et al. When do rotator cuffs fail? Serial ultrasound examination after arthroscopic repair of large and massive rotator cuff tears. Am J Sports Med. 2011;39(10):2064–70.
Iannotti JP, Deutsch A, Green A, Rudicel S, Christensen J, Marraffino S, Rodeo S. Time to failure after rotator cuff repair: a prospective imaging study. J Bone Joint Surg Am. 2013;95(11):965–71. doi:10.2106/JBJS.L.00708. PMID: 23780533
Kim YS, Lee HJ, Bae SH, Jin H, Song HS. Outcome comparison between in situ repair versus tear completion repair for partial thickness rotator cuff tears. Arthroscopy. 2015;31(11):2191–8. doi:10.1016/j.arthro.2015.05.016. Epub 2015 Jul 15. PMID: 26188786
Weber SC. Arthroscopic debridement and acromioplasty versus mini-open repair in the treatment of significant partial-thickness rotator cuff tears. Arthroscopy. 1999;15(2):126–31. doi:10.1053/ar.1999.v15.0150121.
Mazzocca AD, Rincon LM, O'Connor RW, et al. Intra-articular partial-thickness rotator cuff tears: analysis of injured and repaired strain behavior. Am J Sports Med. 2008;36(1):110–6. doi:10.1177/0363546507307502.
Matthewson G, Beach CJ, Nelson AA, Woodmass JM, Ono Y, Boorman RS, Lo IK, Thornton GM. Partial thickness rotator cuff tears: current concepts. Adv Orthop. 2015;2015:458786. doi:10.1155/2015/458786. Epub 2015 Jun 11. Review. PMID: 26171251
Keener JD, Galatz LM, Teefey SA, Middleton WD, Steger-May K, Stobbs-Cucchi G, Patton R, Yamaguchi K. A prospective evaluation of survivorship of asymptomatic degenerative rotator cuff tears. J Bone Joint Surg Am. 2015;97(2):89–98. doi: 10.2106/JBJS.N.00099. PMID: 25609434
Kim YS, Kim SE, Bae SH, Lee HJ, Jee WH, Park CK. Tear progression of symptomatic full-thickness and partial-thickness rotator cuff tears as measured by repeated MRI. Knee Surg Sports Traumatol Arthrosc. 2016 [Epub ahead of print]. doi: 10.1007/s00167-016-4388-3. PMID: 27904936
Henn RF 3rd, Kang L, Tashjian RZ, Green A. Patients with workers’ compensation claims have worse outcomes after rotator cuff repair. J Bone Joint Surg Am. 2008;90(10):2105–13. PMID: 18829907
Xiao J, Cui G. Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears. J Shoulder Elb Surg. 2015;24(2):e41–6. doi:10.1016/j.jse.2014.07.008. PMID: 25240814
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McMahon, P.J. (2018). Arthroscopic Repair of Partial-Thickness Articular Sided Rotator Cuff Tendon Tears. In: McMahon, P. (eds) Rotator Cuff Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-63668-9_3
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DOI: https://doi.org/10.1007/978-3-319-63668-9_3
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