| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
The Sports Medicine and Shoulder Service, The Outcomes Unit, Hospital for Special Surgery, New York, New York
* Address correspondence and reprint requests to Frank A. Cordasco, MD, The Sports Medicine and Shoulder Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021
We evaluated the clinical outcome of arthroscopic acromioplasty and debridement in 162 patients who had either normal rotator cuffs, grade 1 (frayed tendon) partial-thickness tears, or grade 2 (less than 50% of the tendon) partial-thickness tears. The mean time from surgery to the response to the L’Insalata outcome questionnaire was 52.7 months (4.5 years) among the 105 respondents (107 shoulders). The mean score was 90 points; eight patients (8%) scored less than 70 points (range, 30 to 65.5), and their treatment failed early on. The patients with grade 2B (bursal) partial-thickness rotator cuff tears had a significantly higher failure rate (38%). Although the clinical outcome of patients with partial-thickness tears of the rotator cuff comprising less than 50% of the tendon (grade 1 and 2) was not significantly different from that of patients without partial rotator cuff tears, 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. With follow-up to 10 years, 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.
This article has been cited by other articles:
|
|
 |
|
  J. L. Rees The pathogenesis and surgical treatment of tears of the rotator cuff J Bone Joint Surg Br, July 1, 2008; 90-B(7): 827 - 832. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. D. Mazzocca, L. M. Rincon, R. W. O'Connor, E. Obopilwe, M. Andersen, L. Geaney, and R. A. Arciero Intra-articular Partial-Thickness Rotator Cuff Tears: Analysis of Injured and Repaired Strain Behavior Am. J. Sports Med., January 1, 2008; 36(1): 110 - 116. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. B. Wolff, P. Sethi, K. M. Sutton, A. S. Covey, D. P. Magit, and M. Medvecky Partial-Thickness Rotator Cuff Tears J. Am. Acad. Ortho. Surg., December 1, 2006; 14(13): 715 - 725. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Morag, J. A. Jacobson, B. Miller, M. De Maeseneer, G. Girish, and D. Jamadar MR Imaging of Rotator Cuff Injury: What the Clinician Needs to Know. RadioGraphics, July 1, 2006; 26(4): 1045 - 1065. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Ide, S. Maeda, and K. Takagi Arthroscopic Transtendon Repair of Partial-Thickness Articular-Side Tears of the Rotator Cuff: Anatomical and Clinical Study Am. J. Sports Med., November 1, 2005; 33(11): 1672 - 1679. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. R. Dunn, B. R. Schackman, C. Walsh, S. Lyman, E. C. Jones, R. F. Warren, and R. G. Marx Variation in Orthopaedic Surgeons' Perceptions About the Indications for Rotator Cuff Surgery J. Bone Joint Surg. Am., September 1, 2005; 87(9): 1978 - 1984. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Matava, D. B. Purcell, and J. R. Rudzki Partial-Thickness Rotator Cuff Tears Am. J. Sports Med., September 1, 2005; 33(9): 1405 - 1417. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
