Franceschi Francesco, Papalia Rocco, Palumbo Alessio, Del Buono Angelo, Maffulli Nicola, Denaro Vincenzo
Med Sport Sci. 2012;57:100-113. doi: 10.1159/000328888. Epub 2011 Oct 4.
Repair of rotator cuff tears (RCT) is challenging. In RC tears, a partial (PTRCTs) or full (RCTs) discontinuation of one or more of the muscles or tendons and may occur as a result of traumatic injury or degeneration over a period of years. Many factors seem to contribute to the final outcome and a considerable number of variations during the decision-making process of patients with RCTs exist. Accurate diagnosis is fundamental to guide correct management, and the tear pattern should be carefully evaluated to plan the appropriate repair. Both non-operative and operative treatments are used to relieve pain and restore movement and function of the shoulder. Different surgical options are available. The present review describes the current evidence about diagnosis and management of partial and complete rotator tears.
肩袖撕裂（RCT）的修复具有挑战性。在肩袖撕裂中，一块或多块肌肉或肌腱会出现部分（部分肩袖撕裂，PTRCTs）或完全（肩袖撕裂，RCTs）断裂，这可能是由创伤性损伤或多年的退变导致的。许多因素似乎都对最终结果有影响，并且在肩袖撕裂患者的决策过程中存在相当多的变数。准确诊断是指导正确治疗的基础，应仔细评估撕裂模式以规划适当的修复方案。非手术和手术治疗都用于缓解疼痛并恢复肩部的活动和功能。有不同的手术选择。本综述描述了关于部分和完全肩袖撕裂的诊断和治疗的当前证据。
