Osti Leonardo, Rizzello Giacomo, Panascì Manlio, Denaro Vincenzo, Maffulli Nicola
Unit of Arthroscopy and Sports Medicine, Hesperia Hospital, Modena, Italy.
Sports Med Arthrosc Rev. 2011 Dec;19(4):409-19. doi: 10.1097/JSA.0b013e31823940da.
Repair of rotator cuff tears is technically challenging. Full thickness rotator cuff tears have no potential for spontaneous healing, no reliable tendons substitutes are available, and their management is only partially understood. Many factors seem to contribute to the final outcome, and considerable variations in the decision-making process exist. For these reasons, decisions are often taken on the basis of surgeon's clinical experience. Accurate and prompt diagnosis is fundamental to guide correct management, and the tear pattern should be carefully evaluated to planning the most appropriate repair.
肩袖撕裂的修复在技术上具有挑战性。全层肩袖撕裂没有自发愈合的可能，没有可靠的肌腱替代物可用，并且对其治疗的了解也仅为部分。许多因素似乎都对最终结果有影响，并且在决策过程中存在相当大的差异。出于这些原因，决策往往基于外科医生的临床经验。准确及时的诊断是指导正确治疗的基础，并且应该仔细评估撕裂模式以规划最合适的修复方法。
