Essman J A, Bell R H, Askew M
Department of Orthopaedic Surgery, Akron City Hospital, Ohio.
Clin Orthop Relat Res. 1991 Apr(265):170-7.
A retrospective review is reported on 68 patients with 72 full-thickness rotator-cuff tears treated surgically. Duration of symptoms before surgery averaged 18 months (range, one month to ten years). Tears of the rotator cuff were divided into small (12 shoulders), medium (26 shoulders), large (17 shoulders), and massive (17 shoulders). Rotator-cuff tears were repaired by use of a bony trough in 88% of patients. All patients were treated with decompression acromioplasty. In addition, an acromioclavicular arthroplasty was performed in 29 patients. Forty-seven men and 21 women with an average age of 58 years (range, 31-76 years) were followed for an average of 24 months (range, nine to 57 months). Excellent results are reported in 46 shoulders, good in 20, fair in four, and poor in two. The size of tear and duration of symptoms did not significantly affect results.
本文报告了一项对68例接受手术治疗的72例全层肩袖撕裂患者的回顾性研究。术前症状持续时间平均为18个月（范围为1个月至10年）。肩袖撕裂分为小撕裂（12例）、中撕裂（26例）、大撕裂（17例）和巨大撕裂（17例）。88%的患者采用骨槽法修复肩袖撕裂。所有患者均接受了减压肩峰成形术。此外，29例患者进行了肩锁关节成形术。47例男性和21例女性，平均年龄58岁（范围为31 - 76岁），平均随访24个月（范围为9至57个月）。报告显示，46例肩部效果优秀，20例良好，4例一般，2例差。撕裂大小和症状持续时间对结果无显著影响。
