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Arthroscopic Rotator Cuff Repair

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Advances in Shoulder Surgery

Abstract

In recent years, an increasing number of rotator cuff repairs have been performed arthroscopically because advances have been made in arthroscopic devices, suture anchors, and various techniques. Arthroscopic rotator cuff repair (ARCR) is of greater benefit than open rotator cuff repair (ORCR) in several aspects. By using various arthroscopic portals, arthroscopy enables the pathological examination of all sites in both the subacromial bursa and the shoulder joint, which allows evaluation of rotator cuff tear morphology as well as planning for its mobilization and repair. Compared to ORCR, ARCR facilitates the introduction of rehabilitation to allow for early return of range of motion, because there are smaller surgical scars, minimal invasion to the deltoid muscle, and less postoperative pain.

In the early 1990s, the availability of suture anchors dramatically increased the numbers of ARCR. However, surgeons must perform it while using various instruments inserted into a very narrow space and looking at a magnified arthroscopic image on a TV monitor. The narrow space involved, the difficult in recognizing the three-dimensional structures, and the inaccessibility of shoulder joint structures without the use of instruments all add to the difficulty of the procedure, which requires a great deal of time for surgeons to master ARCR.

In this section, basic procedures of ARCR for partial and small- and medium-sized cuff tears are described.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Fukuoka University Chikushi Hospital, 1-1-1 Zokumyoin, Chikushino, Fukuoka, 818-8502, Japan

    Yozo Shibata

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  1. Yozo Shibata
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Correspondence to Yozo Shibata .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Dokkyo Medical University School of MEdicine, Mibu, Tochigi, Japan

    Kazuya Tamai

  2. Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Miyagi, Japan

    Eiji Itoi

  3. Department of Orthopaedic Surgery, Gunma University School of Medicine, Maebashi, Gunma, Japan

    Kenji Takagishi

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© 2016 Springer Japan

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Shibata, Y. (2016). Arthroscopic Rotator Cuff Repair. In: Tamai, K., Itoi, E., Takagishi, K. (eds) Advances in Shoulder Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55988-7_8

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  • DOI: https://doi.org/10.1007/978-4-431-55988-7_8

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55986-3

  • Online ISBN: 978-4-431-55988-7

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