Partial-Thickness Rotator Cuff Tears

@article{Matava2005PartialThicknessRC,  title={Partial-Thickness Rotator Cuff Tears},  author={Matthew J Matava and Derek B. Purcell and Jonas R. Rudzki},  journal={The American Journal of Sports Medicine},  year={2005},  volume={33},  pages={1405 - 1417},  url={https://api.semanticscholar.org/CorpusID:29959313}}
This review will provide an overview of the theories regarding the origins of partial-thickness rotator cuff tears, discuss the relative accuracy of accepted diagnostic techniques, and summarize the indications and methods of operative repair with an emphasis on the results of various treatment approaches.

Figures from this paper

179 Citations

Arthroscopic treatment of partial rotator cuff tears

The purpose of this article is to review partial-thickness rotator cuff tears, including the pathogenesis, diagnosis, nonoperative, and operative treatment options, and to create a rational treatment algorithm.

Management of Partial-Thickness Rotator Cuff Tears

With careful attention to the clinical workup, and meticulous surgical technique, partial-thickness rotator cuff tears can be successfully treated to return active duty patients and cadets back to full military duty.

Partial Thickness Rotator Cuff Tears: What Do We Know?

This review presents the current literature on partial thickness rotator cuff tears, including their incidence, aetiology and pathology, and the available literature on diagnosis and treatment.

Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management

Treatment options for partial thickness tears of the rotator cuff are discussed, with several surgical strategies recommended but there is a lack of evidence to advocate one form of treatment over another.

Operative management of partial- and full-thickness rotator cuff tears.

The present review describes the current evidence about diagnosis and management of partial and complete rotator tears and describes the different surgical options available.

Treatment of Partial Thickness Rotator Cuff Tears in Overhead Athletes

Overhead athletes may be particularly prone to rotators cuff pathology due to the supraphysiological strains within the tendon during the throwing motion, as well as mechanical stress with contact between the undersurface of the rotator cuff and the glenoid.

Partial-Thickness Rotator Cuff Tears

Nearly all PTRCTs should be managed conservatively initially, particularly in overhead athletes, with those that fail nonoperative management undergoing arthroscopic debridement ± acromioplasty if <50% thickness or arthroscopic conversion repair or in situ repair if >50% thickness.

Diagnosis and Management of Partial Thickness Rotator Cuff Tears: A Comprehensive Review.

A detailed review of the etiology and natural history of PRCTs, as well as diagnosis, and current management is provided to guide clinical decision-making and formulate an algorithm for management ofPRCTs for the orthopaedic surgeon.

Operative Technique on Arthroscopic Partial- Thickness Articular Rotator Cuff Repairs

The goal of the technique is to anatomically reduce the delaminated layer to the greater tuberosity under direct visualization, thereby maximizing the biomechanical advantage of fixation while minimizing iatrogenic injury to the remaining fibers.
...

114 References

Arthroscopic repair of partial-thickness tears of the rotator cuff.

An arthroscopic technique for repair of articular surface partial-thickness tears that may promote healing by closing the tendon side-to-side, placing the debrided tendon end in contact with an abraded humeral surface is presented.

Partial-thickness tears of the rotator cuff: evaluation and management.

The approach to management of a partial-thickness rotator cuff tear is best made with the understanding that this is not a singular condition. Rather, partial tears represent the common outcome of a…

The management of partial-thickness tears of the rotator cuff.

Those occurring in young overhead athletes resulting from repetitive microtraumata or internal impingement1,2 are included to allow their different causes to be recognised, which may necessitate specific treatment.

Failed surgical management of partial thickness rotator cuff tears.

It is hypothesize that if indications for selecting between simple debridement and tendon repair were appropriate, then both groups should have comparable outcomes.

Partial-thickness tears of the rotator cuff. A clinicopathological review based on 66 surgically verified cases.

It is concluded that a partial-thickness cuff tear is an important cause of shoulder disability, which deserves much more clinical attention and misdiagnosis is common and leads to mismanagement.

Arthroscopic evaluation and treatment of the rotator cuff.

Arthroscopically assisted mini-open repair of small, full-thickness rotator cuff tears is a reliable procedure and arthroscopic repair appears promising, but is not yet well enough documented to be considered a standard treatment.

Diagnosis and treatment of incomplete rotator cuff tears.

A system of grading partial-thickness tears based on location, depth, and area is presented in an effort to standardize the observations of various investigators and to permit comparison of the results of arthroscopic treatment.

Sonography of the shoulder in patients with tears of the rotator cuff: accuracy and value for selecting surgical options.

The results show a high correlation between the sonographic classification of rotator cuff injury and the surgical findings, suggesting the selection of appropriate treatment programs can be reliably based on the sonography classification.
...

Related Papers

Showing 1 through 3 of 0 Related Papers