Partial-thickness rotator cuff tear
El-Sayed, A., Hannout, Y., Morsi, E. (2020). Partial-thickness rotator cuff tear. EKB Journal Management System, 55(4), 194-199. doi: 10.4103/eoj.eoj_32_21
Amro S. El-Sayed; Yasser S. Hannout; Elsayed Morsi. "Partial-thickness rotator cuff tear". EKB Journal Management System, 55, 4, 2020, 194-199. doi: 10.4103/eoj.eoj_32_21
El-Sayed, A., Hannout, Y., Morsi, E. (2020). 'Partial-thickness rotator cuff tear', EKB Journal Management System, 55(4), pp. 194-199. doi: 10.4103/eoj.eoj_32_21
El-Sayed, A., Hannout, Y., Morsi, E. Partial-thickness rotator cuff tear. EKB Journal Management System, 2020; 55(4): 194-199. doi: 10.4103/eoj.eoj_32_21

Partial-thickness rotator cuff tear

The Egyptian Orthopaedic Journal
Volume 55, Issue 4, October 2020, Page 194-199  XML PDF (1.52 MB)
DOI: 10.4103/eoj.eoj_32_21
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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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