Abstract:
:Partial-thickness rotator cuff tears present partial disruption of tendon fibers with no communication between the subacromial bursa and the glenohumeral joint. The clinical presentation is surprisingly variable, ranging from mild discomfort to decreased throwing speed, chronic pain, and shoulder inability. The first approach to partial-thickness rotator cuff tears is usually conservative, but the hypovascularity of the critical zone and mechanical factors often result in poor spontaneous tendon healing. Surgical options include arthroscopic cuff "debridement" or "repair," performed arthroscopically or by open surgery, and subacromial decompression or debridement if necessary. No agreement has been reached on the best surgical management. However, repair is usually indicated if bursal-sided and articular tears involve more than 50% of tendon thickness; debridement is generally undertaken if <50% of the rotator cuff is torn. There is a need for randomized clinical trails formulating and testing guidelines of management and for further studies on imaging or intraoperative measures and methods to assess the thickness of the rotator cuff to inform management.
journal_name
Sports Med Arthrosc Revjournal_title
Sports medicine and arthroscopy reviewauthors
Franceschi F,Papalia R,Del Buono A,Maffulli N,Denaro Vdoi
10.1097/JSA.0b013e3182393fa1subject
Has Abstractpub_date
2011-12-01 00:00:00pages
401-8issue
4eissn
1062-8592issn
1538-1951pii
00132585-201112000-00010journal_volume
19pub_type
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journal_title:Sports medicine and arthroscopy review
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