Partial-thickness rotator cuff tear | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 55, Issue 4, October 2020, Pages 194-199 PDF (1.52 M) | ||
| DOI: 10.4103/eoj.eoj_32_21 | ||
| Authors | ||
| Amro S. El-Sayed; Yasser S. Hannout; Elsayed Morsi | ||
| Abstract | ||
| Aim The aim of this study is to prospectively evaluate the functional outcome after repair of PTRCT, moreconcisely partial-thickness articular surface tear, through converting it into complete tear and repairing in a routine manner using a spinal needle as a guideline for localization of the tear. Objectives Repair of PTRCT, through converting it into complete tear and repairing in a routine manner using a spinal needle. Background Partial-thickness rotator cuff tears (PTRCTs) involve all tears that do not connect the subacromial space with the glenohumeral joint but the fibers are disrupted. They may be articular-side tear, intertendinous tears, or bursal-side tears. The histopathological changes leading to rotator cuff rupture are gradual and progressive. The exact location and extent of incomplete tear can be shown by shoulder arthroscopy. Methods A total of 50 patients who underwent arthroscopic repair for a partial-thickness articular-sided rotator cuff tear between March 2013 and July 2015 were included in this study. Results Range of motion of the shoulder preoperatively was forward elevation of 1355.6, mean external rotation of 44 3.5, and mean internal rotation of L3 level. Postoperatively, the range finally improved significantly to forward elevation of 1654, external rotation of 605, and internal rotation of L1 level. Conclusions The use of spinal needle in arthroscopic repair of PTRCT facilitates the site of tear and as a guide for the healthy bursal side of the cuff. The limitations of our study included patient were highly selected regarding PTRCT and there was no postoperative imaging study. | ||
| Keywords | ||
| Rotator Cuff; shoulder; tear | ||
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