Eraghi Amir Sobhani
Department of Orthopedics, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
J Family Med Prim Care. 2020 Feb 28;9(2):520-525. doi: 10.4103/jfmpc.jfmpc_870_19. eCollection 2020 Feb.
The partial-thickness rotator cuff tears (PTRCTs) are known as a prevalent pathology, which cause inability mostly in athletes. So far, a number of treatments have been suggested depending on patient characteristics and size and location of the tears. Surgical repair in rotator cuff tears that include 50% or more of the tendon thickness is the accepted practice in the following failure of nonoperative treatment. In the surgical procedure, acromioplasty is known as a long-established component and used to modify the detrimental acromion morphology, which accounts for rotator cuff tearing. A range of trials has been reported that compare the results of surgical procedure with and without acromioplasty in patients undergoing rotator cuff repairs. According to the findings of 15 studies including ~1,500 patients, with mean age 60 years (range 5-80 years) and mean follow-up of 22 months (range 13-26 months) found by searching on Cochrane Register of Controlled Trials databases, Excerpta Medica/Embase, and Medline/PubMed, we revealed that acromioplasty cannot present an impressive effect on patient outcome scores at intermediate and short-term follow-ups. In fact, despite the theoretic advantages of acromioplasty in the setting of PTRCTs, it has reported little or no efficacy on outcomes of postoperative patients.
部分厚度肩袖撕裂（PTRCTs）是一种常见的病理状况，主要导致运动员功能丧失。到目前为止，根据患者特征以及撕裂的大小和位置，已提出了多种治疗方法。对于肌腱厚度50%或更多的肩袖撕裂，在非手术治疗失败后，手术修复是公认的做法。在手术过程中，肩峰成形术是一个长期存在的组成部分，用于改变导致肩袖撕裂的有害肩峰形态。已有一系列试验报告了在接受肩袖修复的患者中比较有和没有肩峰成形术的手术结果。通过在Cochrane对照试验注册数据库、医学文摘数据库/Embase和医学期刊数据库/ PubMed上检索，发现了15项研究，纳入约1500名患者，平均年龄60岁（范围5 - 80岁），平均随访22个月（范围13 - 26个月），我们发现肩峰成形术在短期和中期随访中对患者的结果评分没有显著影响。事实上，尽管肩峰成形术在PTRCTs情况下具有理论优势，但对术后患者的结果几乎没有疗效报道。
