Ostrander Roger V, Klauser Jeffrey M, Menon Sanjay, Hackel Joshua G
Andrews Research & Education Foundation, Gulf Breeze, Florida, USA.
Orthop J Sports Med. 2017 Mar 27;5(3):2325967117697375. doi: 10.1177/2325967117697375. eCollection 2017 Mar.
Partial-thickness articular-sided rotator cuff tears are a frequent source of shoulder pain. Despite conservative measures, some patients continue to be symptomatic and require surgical management. However, there is some controversy as to which surgical approach results in the best outcomes for grade 3 tears.
HYPOTHESIS/PURPOSE: The purpose of this study was to evaluate repair integrity and the clinical results of patients treated with transtendinous repair of high-grade partial-thickness articular-sided rotator cuff tears. Our hypothesis was that transtendinous repairs would result in reliable healing and acceptable functional outcomes.
Case series; Level of evidence, 4.
Twenty patients with a minimum follow-up of 2 years were included in the study. All patients underwent arthroscopic repair of high-grade partial-thickness rotator cuff tears utilizing a transtendinous technique by a single surgeon. At latest follow-up, the repair integrity was evaluated using ultrasound imaging, and functional scores were calculated.
Ultrasound evaluation demonstrated that 18 of 20 patients had complete healing with a normal-appearing rotator cuff. Two patients had a minor residual partial tear. Sixteen of 20 patients had no pain on visual analog scale. Four patients complained of mild intermittent residual pain. All patients were rated as "excellent" by both the University of California at Los Angeles Shoulder Score and the Simple Shoulder Test.
The transtendon technique for the repair of articular-sided high-grade partial rotator cuff tears results in reliable tendon healing and excellent functional outcomes.
关节面侧部分厚度的肩袖撕裂是肩部疼痛的常见原因。尽管采取了保守治疗措施，但一些患者仍有症状，需要手术治疗。然而，对于3级撕裂采用哪种手术方法能取得最佳效果存在一些争议。
假设/目的：本研究的目的是评估采用经肌腱修复治疗高级别关节面侧部分厚度肩袖撕裂患者的修复完整性和临床结果。我们的假设是经肌腱修复将导致可靠的愈合和可接受的功能结果。
病例系列；证据等级，4级。
本研究纳入了20例至少随访2年的患者。所有患者均由同一外科医生采用经肌腱技术进行关节镜下修复高级别部分厚度的肩袖撕裂。在最近一次随访时，使用超声成像评估修复完整性，并计算功能评分。
超声评估显示，20例患者中有18例肩袖愈合完全且外观正常。2例患者有轻微的残余部分撕裂。20例患者中有16例在视觉模拟量表上无疼痛。4例患者抱怨有轻度间歇性残余疼痛。所有患者在加州大学洛杉矶分校肩袖评分和简单肩部测试中均被评为“优秀”。
经肌腱技术修复关节面侧高级别部分肩袖撕裂可实现可靠的肌腱愈合和优异的功能结果。
