Abstract
Arthroscopic techniques have revolutionized the treatment of large and massive rotator cuff tears. The arthroscopic approach has not only dramatically reduced the rate of major complications from rotator cuff surgery (infection, deltoid detachment, postoperative stiffness), it has also facilitated precise anatomical repair of complex cuff tear patterns.1,2 Restoration of the anatomy is critically important, but the surgeon must first recognize the tear pattern in order to properly repair a given tear.3,4Tear pattern recognition is the essential first step that leads to anatomically accurate rotator cuff repair.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Gartsman GM, Khan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am 1998;80:832–840.
Gartsman GM. Massive, irreparable tears of the rotator cuff. Results of operative debridement and subacromial decompression. J Bone Joint Surg Am 1997;79:715–721.
Burkhart SS, Athanasiou KA, Wirth MA. Margin convergence: a method of reducing strain in massive rotator cuff tears. Arthroscopy 1996;12:335–338.
Burkhart SS, Danaceau SM, Pearce CE. Arthroscopic rotator cuff repair: analysis of results by tear size and by repair technique-margin convergence versus direct tendon-to-bone repair. Arthroscopy 2001;17:905–912.
Halder AM, O’Driscoll SW, Heer G, et al. Biomechanical comparison of effects of supraspinatus tendon detachments, tendon defects and muscle retractions. J Bone Joint Surg Am 2002;84:780–785.
Harryman DT II, Mach LA, Wang KY, et al. Repairs of the rotator cuff: correlation of functional results with integrity of the cuff. J Bone Joint Surg Am 1991;73:982–989.
Tauro JC. Arthroscopic “interval slide” in the repair of large rotator cuff tears. Arthroscopy 1999;15:527–530.
Lo IK, Burkhart SS. Arthroscopic repair of massive, contracted, immobile rotator cuff tears using single and double interval slides: technique and preliminary results. Arthroscopy 2004;20:22–23.
Burkhart SS, Tehrany AM. Arthroscopic subscapularis repair: technique and preliminary results. Arthroscopy 2002;18:454–463.
Lo IK, Burkhart SS. The interval slide in continuity: a method of mobilizing the anterosuperior rotator cuff without disrupting the tear margins. Arthroscopy 2004;20:435–441.
Lo IK, Burkhart SS. Arthroscopic coracoplasty through the rotator interval. Arthroscopy 2003;19:667–671.
Burkhart SS. Partial repair of massive rotator cuff tears: the evolution of a concept. Orthop Clin North Am 1997;28:125–132.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Burkhart, S.S., Huberty, D.P. (2008). When and How to Do Margin Convergence Repair Versus Interval Slides. In: Abrams, J.S., Bell, R.H. (eds) Arthroscopic Rotator Cuff Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-39343-8_16
Download citation
DOI: https://doi.org/10.1007/978-0-387-39343-8_16
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-39340-7
Online ISBN: 978-0-387-39343-8
eBook Packages: MedicineMedicine (R0)