Djahangiri A, Farron A
Service d'orthopédie et de traumatologie, CHUV, Lausanne.
Rev Med Suisse. 2009 Dec 16;5(230):2551-4.
Rotator cuff disease is the most common pathology causing shoulder pain with an overall prevalence rate of 30%. There is a significant association between increasing age and the presence of rotator cuff tears. Spontaneous healing of clinically relevant tears has not been observed. Although satisfactory pain relief is possible without rotator cuff tendon healing, functional outcome is better for healed repairs. Operative treatment must be considered in the context of the reasonable expectations for success. Repairability and potential of surgically tendon construct to heal are important considerations in surgical indications. There is no difference of outcomes between the arthroscopic and the open techniques.
肩袖疾病是导致肩部疼痛最常见的病理状况，总体患病率为30%。年龄增长与肩袖撕裂的存在之间存在显著关联。尚未观察到临床相关撕裂的自发愈合情况。尽管在肩袖肌腱未愈合的情况下也可能实现令人满意的疼痛缓解，但愈合修复后的功能结果更佳。必须在合理预期成功的背景下考虑手术治疗。手术可修复性以及手术肌腱结构的愈合潜力是手术指征的重要考量因素。关节镜技术和开放技术的治疗结果并无差异。
