Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Daejeon, South Korea.
Knee Surg Sports Traumatol Arthrosc. 2013 May;21(5):1183-8. doi: 10.1007/s00167-012-2069-4. Epub 2012 Jun 14.
We evaluated the functional and radiological outcomes of arthroscopic trans-tendon suture-bridge repair for partial-thickness articular-side rotator cuff tears.
From December 2008 to May 2010, 32 consecutive patients with partial-thickness articular-side rotator cuff tears prospectively underwent arthroscopic trans-tendon suture-bridge repair. We included patients with articular-side partial-thickness supraspinatus tears involving more than half the normal thickness. Patients underwent ultrasonography or magnetic resonance imaging postoperatively. The functional outcomes of patients were evaluated at a minimum 1 year postoperatively. The mean age and follow-up period for the patients were 51.8 ± 13.7 years and 17.4 ± 4.2 months, respectively. Five outcome measures were used before surgery and at the final follow-up: a visual analog scale (VAS) pain score, the American Shoulder and Elbow Surgeons (ASES) score, the Shoulder Rating Scale of the University of California at Los Angeles (UCLA), the Constant-Murley score and range of motion (ROM).
The radiological follow-up rate was 87.5%, and the follow-up rate for clinical evaluation was 96.9%. Mean UCLA, ASES and Constant-Murley scores improved from 19.1 ± 5.4, 45.2 ± 16.0 and 58.0 ± 19.6 preoperatively to 35.7 ± 8.5, 79.0 ± 15.8 and 78.1 ± 12.9 at final follow-up, respectively (all p ≤ 0.001). Mean VAS score and ROM (forward flexion) improved from 6.1 ± 1.9 and 140 ± 36.6 preoperatively to 2.6 ± 1.9 and 163 ± 25.2 at the final follow-up, respectively (p ≤ 0.001). Additionally, the postoperative radiological examination showed cuff integrity without retear in all patients.
Arthroscopic trans-tendon suture-bridge repair for partial-thickness articular-side rotator cuff tears resulted in significant improvement in function compared with that before the operation.
我们评估了关节镜下经肌腱缝合桥修复术治疗部分厚度关节侧肩袖撕裂的功能和影像学结果。
从 2008 年 12 月至 2010 年 5 月，连续 32 例部分厚度关节侧肩袖撕裂患者前瞻性接受关节镜下经肌腱缝合桥修复术。我们纳入了涉及正常厚度一半以上的关节侧部分厚度冈上肌腱撕裂患者。患者术后行超声或磁共振成像检查。术后至少 1 年对患者进行功能评估。患者的平均年龄和随访期分别为 51.8±13.7 岁和 17.4±4.2 个月。术前和最后随访时使用 5 种结果测量方法：视觉模拟评分（VAS）疼痛评分、美国肩肘外科医师协会（ASES）评分、加州大学洛杉矶分校（UCLA）肩评分、Constant-Murley 评分和活动范围（ROM）。
影像学随访率为 87.5%，临床评估随访率为 96.9%。UCLA、ASES 和 Constant-Murley 评分平均从术前的 19.1±5.4、45.2±16.0 和 58.0±19.6 改善至最后随访时的 35.7±8.5、79.0±15.8 和 78.1±12.9（均 p≤0.001）。VAS 评分和 ROM（前屈）平均值从术前的 6.1±1.9 和 140±36.6 改善至最后随访时的 2.6±1.9 和 163±25.2（均 p≤0.001）。此外，术后影像学检查显示所有患者肩袖完整性，无再撕裂。
关节镜下经肌腱缝合桥修复术治疗部分厚度关节侧肩袖撕裂与术前相比，功能显著改善。
