Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears.

@article{Xiao2015ClinicalAS,
  title={Clinical and structural results of arthroscopic repair of bursal-side partial-thickness rotator cuff tears.},
  author={J. Xiao and G. Cui},
  journal={Journal of shoulder and elbow surgery},
  year={2015},
  volume={24 2},
  pages={
          e41-6
        }
}
  • J. Xiao, G. Cui
  • Published 2015
  • Medicine
  • Journal of shoulder and elbow surgery
BACKGROUND There have been few studies using magnetic resonance imaging (MRI) to evaluate the clinical outcomes and structural results after arthroscopic repair of bursal-side partial-thickness rotator cuff tears (PTRCTs). METHODS From 2009 to 2012, 73 consecutive patients with bursal-side PTRCTs underwent arthroscopic repair. Fifty-nine of them were retrospectively evaluated as Ellman classification grade 2 (group A, n = 11) or grade 3 (group B, n = 48). All repairs were performed with a… Expand
A comparative study of arthroscopic débridement versus repair for Ellman grade II bursal-side partial-thickness rotator cuff tears.
TLDR
Arthroscopic débridement and repair of Ellman grade II bursal-side partial-thickness rotator cuff tears achieved comparable clinical scores and low retear rates during 2 years of follow-up, but débridements achieved better results, especially within 6 months postoperatively, and achieved a favorable prognosis up to 2 years postoperative. Expand
Arthroscopic in Situ Repair of Partial Bursal Rotator Cuff Tears Without Acromioplasty.
TLDR
Arthroscopic in situ repair of PBRCTs without acromioplasty is a reliable procedure that produces significant functional improvements and pain relief in a consecutive group of patients with partial bursal rotator cuff tears. Expand
High-grade bursal-side partial rotator cuff tears: comparison of mid- and long-term results following arthroscopic repair after conversion to a full-thickness tear
TLDR
Arthroscopic repair of high-grade bursal-side PTRCTs after conversion to full-thickness tears is a reliable surgical technique with good functional outcomes and pain relief both at mid- and long-term follow-ups. Expand
Return to Sports After in Situ Arthroscopic Repair of Partial Rotator Cuff Tears.
  • L. Rossi, N. Atala, +4 authors M. Ranalletta
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2019
TLDR
In patients with partial-thickness rotator cuff tears, arthroscopic in situ repair resulted in excellent functional outcomes, with most of the patients returning to sport and at the same level they had before injury. Expand
Clinical features and repair integrity after knotless - In situ suture bridge technique in high-grade bursal side rotator cuff tears.
TLDR
Arthroscopic knotless-in-situ suture-bridge repair technique in PBS- RCT showed good functional-outcome and repair-integrity at minimum 2-years after surgery. Expand
Improved outcomes with arthroscopic repair of partial-thickness rotator cuff tears: a systematic review
TLDR
The repair technique (in situ repair versus repair of the tendon after completion to full-thickness RCT) did not significantly affect the outcomes for arthroscopic repair of PTRCTs >50% thickness. Expand
In situ repair of partial-thickness rotator cuff tears: a critical analysis review
TLDR
During long-term follow-up, arthroscopic in situ repair of articular and bursal PTRCTs produced excellent functional outcomes in most patients, with a low rate of revision. Expand
Bursal-Sided Rotator Cuff Tears: Simple Versus Everted Type
TLDR
The everted type of bursal-sided PTRCTs showed a characteristic hat-shaped acromion, often with bony spurs of the greater tuberosity, and satisfactory clinical and structural outcomes were observed for both the simple and everted types. Expand
Surgical Treatment Options for Partial Rotator Cuff Tears: A Review of the Literature
TLDR
New research suggests that a considerable proportion (up to 30%) of cuff thickness on the articular side is taken up histologically by the superior joint capsule conjoined to the rotator cuff tissue, which means that newer reviews of the surgical options may be required to complement the Ellman classification. Expand
Is Bony Morphology and Morphometry Associated With Degenerative Full-Thickness Rotator Cuff Tears? A Systematic Review and Meta-analysis.
  • R. Andrade, Ana Lucinda Correia, +4 authors N. Sevivas
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 2019
TLDR
There is moderate evidence that larger critical shoulder angle, higher acromion index, lower lateral acromION angles, and a type III acromions are significantly associated with degenerative full-thickness rotator cuff tears. Expand
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TLDR
The arthroscopic repair of partial-thickness bursal-side Tears resulted in comparable or superior postoperative functional outcomes compared with that of articular-side tears, however, the postoperative retear rate did not differ significantly between the 2 groups. Expand
Use of Magnetic Resonance Arthrography to Compare Clinical Features and Structural Integrity After Arthroscopic Repair of Bursal Versus Articular Side Partial-Thickness Rotator Cuff Tears
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Both articular and bursal side PTRCTs showed significant functional improvements after arthroscopic repair, including a higher incidence of impingement sign at preoperative examination and more often had a protruded spur on the acromion undersurface. Expand
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Arthroscopic repair of high-grade partial-thickness rotator cuff tears results in a high rate of tendon healing and patient age is an important factor in tendon healing. Expand
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For bursal-side PTRCT, clinical outcomes and tendon healing showed good results at a minimum 2 years after surgery, with minimal damage to intact articular tendon fibers on postoperative MRIs. Expand
Arthroscopic debridement and acromioplasty versus mini-open repair in the treatment of significant partial-thickness rotator cuff tears.
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Recognition and repair of these significant partial tears of the rotator cuff may be advisable for the long-term function of the shoulder despite short-term improvement in morbidity with arthroscopic treatment. Expand
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Thirty-one patients withArthroscopically documented partial thickness rotator cuff tears treated by arthroscopic debridement of the lesion were retrospectively reviewed and the results with and without subacromial decompression were similar. Expand
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It appears that an arthroscopic acromioplasty and rotators cuff debridement in patients with partial tears does not protect the rotator cuff from undergoing further degeneration. Expand
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TLDR
The successful clinical outcome of arthroscopic repair of significant partial-thickness rotator cuff tears was documented and 40 patients were satisfied with their outcome. Expand
Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: single-row versus dual-row fixation.
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Arthroscopic rotator cuff repair yielded successful functional outcomes without significant difference between single and dual-row fixation techniques, however,Dual-row repairs excelled in structural outcome over the single-row technique. Expand
The Partial-Thickness Rotator Cuff Tear: Is Acromioplasty without Repair Sufficient?
TLDR
Although there was no evidence that clinically relevant or symptomatic intrinsic rotator cuff pathologic conditions progress in those patients with partial-thickness tears treated with arthroscopic anterior acromioplasty, the subgroup of patients with grade 2B partial tears had a statistically significantly higher failure rate and may have been better served with primary repair. Expand
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