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Arthroscopic Repair of Full-Thickness Small-to-Moderate Rotator Cuff Tears

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Rotator Cuff Injuries

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Abstract

Asymptomatic and symptomatic full-thickness rotator cuff tears are common amongst the middle-aged and older population as a result of intrinsic degenerative changes of the rotator cuff tendon. Symptomatic tears can present with pain, weakness, and loss of function and can be repaired through a variety of open or arthroscopic methods. Although the traditional “gold standard” of rotator cuff repair was open repair of the tendon to bone with transosseous sutures, advances in surgical technique and implants have allowed for all arthroscopic rotator cuff repairs. The goals of rotator cuff repair are to establish strong and secure initial fixation of the tendon to bone with minimal tension on the repair site and maximal tendon-bone contact area, which may be accomplished with different techniques. We prefer to use an arthroscopic anchorless transosseous repair technique because it provides improved tendon-bone contact area compared with single-anchor repairs and is more cost effective than double-row and transosseous equivalent techniques that require multiple suture anchors.

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Authors and Affiliations

  1. OrthoArizona, 20325 North 51st Avenue, Bldg 4, Suite 124, Glendale, AZ, 85308, USA

    Justin C. Wong M.D.

  2. Orthopedic Surgery, Thomas Jefferson University Hospital, Rothman Institute, 925 Chestnut Street, Philadelphia, PA, 19107, USA

    J. Gabe Horneff M.D. & Mark D. Lazarus M.D.

Authors
  1. Justin C. Wong M.D.
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  2. J. Gabe Horneff M.D.
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  3. Mark D. Lazarus M.D.
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Corresponding author

Correspondence to Mark D. Lazarus M.D. .

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Editors and Affiliations

  1. McMahon Orthopedics and Rehabilitation, Department of Bioengineering University of Pittsburgh, Pittsburgh, Pennsylvania, USA

    Patrick J. McMahon

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Wong, J.C., Gabe Horneff, J., Lazarus, M.D. (2018). Arthroscopic Repair of Full-Thickness Small-to-Moderate Rotator Cuff Tears. In: McMahon, P. (eds) Rotator Cuff Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-63668-9_4

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  • DOI: https://doi.org/10.1007/978-3-319-63668-9_4

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