Rudzki J R, Shaffer Benjamin
Washington Orthopaedics and Sports Medicine, 2021 K Street, NW #400, Washington, DC 20006, USA.
Clin Sports Med. 2008 Oct;27(4):691-717. doi: 10.1016/j.csm.2008.06.004.
Partial-thickness cuff tears (PTCTs) are increasingly recognized as a source of pain and athletic impairment, especially in overhead athletes. 1,2 Improvements in diagnostic imaging have enhanced the ability to detect and quantify partial cuff disease, and arthroscopic advances have led to novel techniques by which partial cuff tears can be repaired. 2-6 Despite increasing recognition and improved understanding of this condition, the natural history, clinical evaluation, and management of partial tears remain elusive. This is because of the disparity between the extent of partial cuff tearing and the wide variability in clinical impairment and the frequent overlay of concomitant labral and subacromial pathology. When should operating on an athlete with a partial cuff tear be considered? What percentage of cuff tear justifies repair rather than debridement? Does this threshold vary according to the athlete or sport? And if the partial tear is repaired, what can be expected in terms of return to activity, particularly in a high-level thrower? The purpose of this manuscript is to provide an overview of partial cuff tears and their evaluation and management.
部分厚度肩袖撕裂（PTCTs）越来越被认为是疼痛和运动功能受损的一个原因，尤其是在过头运动的运动员中。1,2诊断成像技术的进步提高了检测和量化部分肩袖疾病的能力，关节镜技术的进展带来了修复部分肩袖撕裂的新技术。2 - 6尽管对这种情况的认识不断提高且理解有所改善，但部分撕裂的自然病程、临床评估和治疗仍不明确。这是因为部分肩袖撕裂的程度与临床功能受损的广泛变异性以及伴随的盂唇和肩峰下病理情况的频繁重叠之间存在差异。对于有部分肩袖撕裂的运动员，何时应考虑进行手术？多大比例的肩袖撕裂值得修复而不是清创？这个阈值是否因运动员或运动项目而异？如果修复了部分撕裂，恢复运动，特别是对于高水平投掷运动员，预期会怎样？本文的目的是概述部分肩袖撕裂及其评估和治疗。
